National Provider Identifier Database

SHAVANO PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

SHAVANO PHARMACY LLC
415 US HIGHWAY 24 N
BUENA VISTA, CO81211
Phone: 816-804-6412
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for SHAVANO PHARMACY LLC

NPI Number 1487275129
Legal business name
LBN
SHAVANO PHARMACY LLC
Authorized official REBECCA SEAMAN - (OWNER/PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 05/05/2020
Last updated 11/17/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 1053755363

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SHAVANO PHARMACY LLC

There are currently no reviews for SHAVANO PHARMACY LLC


NPIdb - Home
v2.201