Canyon Medical Pharmacy Inc

LBN: Canyon Medical Pharmacy Inc
Canyon Medical Pharmacy Inc is an health care organization with primary practice located at 7265 S Revere Pkwy Ste 902 , Centennial CO 80112-6787. 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. Canyon Medical Pharmacy Inc can be contacted via phone (800) 793-2890, or through Montanez, Elvin via phone (407) 830-8820.

Contact Information

Primary practice address
7265 S Revere Pkwy Ste 902 Centennial CO 80112-6787
Phone: (800) 793-2890
Fax: (866) 523-5404
Website:
Map and Directions
Authorized official contact:
Name: Montanez, Elvin PHARMD
Phone: (407) 830-8820

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PDO1680000131 Colorado

Profile Details

NPI number 1497202816
LBN Legal business name Canyon Medical Pharmacy Inc
DBA Doing business as
Authorized official Montanez, Elvin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Mar 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497202816 NPPES
Other 2166868 PK

Popular Providers