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Contact Information

SHAVANO PHARMACY LLC
415 US HIGHWAY 24 N
BUENA VISTA, CO81211
 Phone: 816-804-6412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHAVANO PHARMACY LLC

NPI Number 1487275129
LBN Legal business name SHAVANO PHARMACY LLC
Authorized official REBECCA SEAMAN - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2020
Last updated 11/17/2020 - About 6 years ago
Identifiers
CO Medicaid 1053755363
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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