Alamosa Pharmacy

LBN: Alamosa Pharmacy Inc
Alamosa Pharmacy is an health care organization with primary practice located at 108 Blanca Ave , Alamosa CO 81101-2340. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Alamosa Pharmacy Inc can be contacted via phone (719) 589-1766, or through Martinez, Polito via phone (719) 589-1766.

Contact Information

Primary practice address
108 Blanca Ave Alamosa CO 81101-2340
Phone: (719) 589-1766
Fax: (719) 589-3960
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Polito RPH
Phone: (719) 589-1766

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 20000002 Colorado

Profile Details

NPI number 1518071588
LBN Legal business name Alamosa Pharmacy Inc
DBA Doing business as Alamosa Pharmacy
Authorized official Martinez, Polito RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 1st, 2010 - about 15 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 1518071588 NPPES
Colorado MEDICAID 03003340
Colorado Other 0614227

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