Capitol Heights Pharmacy

LBN: 1200 Madison Sreet Inc
Capitol Heights Pharmacy is an health care organization with primary practice located at 1200 Madison St , Denver CO 80206-3440. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 1200 Madison Sreet Inc can be contacted via phone (303) 388-3679, or through Dhaliwal, Jit via phone (303) 388-3679.

Contact Information

Primary practice address
1200 Madison St Denver CO 80206-3440
Phone: (303) 388-3679
Fax: (303) 393-7604
Website:
Map and Directions
Authorized official contact:
Name: Dhaliwal, Jit
Phone: (303) 388-3679

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PDO30 Colorado
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1649215864
LBN Legal business name 1200 Madison Sreet Inc
DBA Doing business as Capitol Heights Pharmacy
Authorized official Dhaliwal, Jit
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Feb 7th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649215864 NPPES
Colorado MEDICAID 62103571
Colorado Other 0601496

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