Ivywild Pharmacy
LBN: Bethel Business Llc
Ivywild Pharmacy is an health care organization with primary practice located at 311 S Nevada Ave , Colorado Springs CO 80903-2107. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Bethel Business Llc can be contacted via phone (719) 634-5541, or through Bethel, Lawrence via phone (719) 547-7557.
Contact Information
Primary practice address
311 S Nevada Ave
Colorado Springs CO 80903-2107
Phone: (719) 634-5541
Fax: (719) 634-0692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PDO0240000019 | Colorado |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1568483519 |
|---|---|
| LBN Legal business name | Bethel Business Llc |
| DBA Doing business as | Ivywild Pharmacy |
| Authorized official | Bethel, Lawrence RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Feb 7th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568483519 | NPPES |
| Colorado | MEDICAID | 64108066 | |
| Colorado | MEDICAID | 03380508 | |
| Colorado | Other | 2140939 |
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