Centura Health Pharmacy At St. Mary-Corwin Medical Center
LBN: Catholic Health Initiatives Colorado
Centura Health Pharmacy At St. Mary-Corwin Medical Center is an health care organization with primary practice located at 1008 Minnequa Ave , Pueblo CO 81004-3733. 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.
Catholic Health Initiatives Colorado can be contacted via phone (719) 557-5676, or through Holzrichter, Linda via phone (719) 557-5676.
Contact Information
Primary practice address
1008 Minnequa Ave
Pueblo CO 81004-3733
Phone: (719) 557-5676
Fax: (719) 557-4767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PDO1040000028 | Colorado |
Profile Details
| NPI number | 1144241191 |
|---|---|
| LBN Legal business name | Catholic Health Initiatives Colorado |
| DBA Doing business as | Centura Health Pharmacy At St. Mary-Corwin Medical Center |
| Authorized official | Holzrichter, Linda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Aug 27th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144241191 | NPPES |
| Other | 2001182 | PK | |
| MEDICAID | 03003480 | PK |
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