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:
Map and Directions
Authorized official contact:
Name: Hodge, Tyson
Phone: (303) 880-2007

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093120305 NPPES
Other 2146966 PK
MEDICAID 54930022 PK

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