Basalt Clinic Pharmacy

LBN: Anderson Family Pharmacy, Inc
Basalt Clinic Pharmacy is an health care organization with primary practice located at 110 Midland Ave , Basalt CO 81621-8305. 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. Anderson Family Pharmacy, Inc can be contacted via phone (970) 927-3833, or through Anderson, Tad via phone (970) 927-3833.

Contact Information

Primary practice address
110 Midland Ave Basalt CO 81621-8305
Phone: (970) 927-3833
Fax: (970) 927-2538
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Tad RPH
Phone: (970) 927-3833

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1330000001 Colorado

Profile Details

NPI number 1760401046
LBN Legal business name Anderson Family Pharmacy, Inc
DBA Doing business as Basalt Clinic Pharmacy
Authorized official Anderson, Tad RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 18th, 2017 - about 7 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 1760401046 NPPES
Colorado MEDICAID 03002383
Colorado Other 2002678

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