A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI # | 1861777260 |
| LBN Legal business name | HERITAGE HILLS FAMILY MEDICINE, PC |
| Authorized official | ANDREAS EDRICH - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/17/2011 |
| Last updated | 03/14/2014 - About 12 years ago |
| Identifiers | n/a |
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| PETER E CARRA, OD 10TH MEDICAL GROUP AF ACADEMY, CO |
| AGATE FIRE PROTECTION DISTRICT 40160 COUNTY ROAD 153 AGATE, CO |
| HANNAH L BEAL MALOTT, MD 10TH MEDICAL GROUP 4102 PINION DRIVE 719-524-2273, CO |
| COLLABORATIVE JOURNEYS, LLC 36533 COUNTY ROAD 153 AGATE, CO |
| LISA M PEREZ, APN 725 S 4TH STREET 9702407734, CO |