Centre Pharmacy Inc

LBN: Centre Pharmacy Inc
Centre Pharmacy Inc is an health care organization with primary practice located at 915 Centre Ave Suite 4, Fort Collins CO 80526-6045. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Centre Pharmacy Inc can be contacted via phone (970) 221-0190, or through Ellis, Eric via phone (970) 221-0190.

Contact Information

Primary practice address
915 Centre Ave Suite 4 Fort Collins CO 80526-6045
Phone: (970) 221-0190
Fax: (970) 493-7680
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Eric PHRM
Phone: (970) 221-0190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 440000002 Colorado

Profile Details

NPI number 1205832789
LBN Legal business name Centre Pharmacy Inc
DBA Doing business as Centre Pharmacy Inc
Authorized official Ellis, Eric PHRM
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 19th, 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 1205832789 NPPES
Other 2002676 PK
MEDICAID 03002250 PK

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