Chinook Healthcare Pharmacy
LBN: Chinook Healthcare Inc
Chinook Healthcare Pharmacy is an health care organization with primary practice located at 275 Waneka Pkwy Ste. 10, Lafayette CO 80026-8873. 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 / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Chinook Healthcare Inc can be contacted via phone (720) 458-4887, or through Hodge, Tyson via phone (303) 880-2007.
Contact Information
Primary practice address
275 Waneka Pkwy Ste. 10
Lafayette CO 80026-8873
Phone: (720) 458-4887
Fax: (720) 465-9312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PDO.1680000058 | Colorado |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1093120305 |
|---|---|
| LBN Legal business name | Chinook Healthcare Inc |
| DBA Doing business as | Chinook Healthcare Pharmacy |
| Authorized official | Hodge, Tyson |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1093120305 | NPPES |
| Other | 2146966 | PK | |
| MEDICAID | 54930022 | PK |
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