Salida Pharmacy & Fountain

LBN: Ljcc Services, Llc
Salida Pharmacy & Fountain is an health care organization with primary practice located at 137 F Street , Salida CO 81201. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ljcc Services, Llc can be contacted via phone (719) 530-4790, or through Smith, Lucas via phone (719) 460-1465.

Contact Information

Primary practice address
137 F Street Salida CO 81201
Phone: (719) 530-4790
Fax: (719) 530-4791
Website:
Map and Directions
Authorized official contact:
Name: Smith, Lucas PHARMD
Phone: (719) 460-1465

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740821289
LBN Legal business name Ljcc Services, Llc
DBA Doing business as Salida Pharmacy & Fountain
Authorized official Smith, Lucas PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2019
Last updated Jun 5th, 2024 - about 3 months 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 1740821289 NPPES
Colorado MEDICAID 9000178623

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