Pamida Pharmacy 687
LBN: Pamida Stores Operating Co., Llc
Pamida Pharmacy 687 is an health care organization with primary practice located at 118 South Interocean Ave , Holyoke CO 80734. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pamida Stores Operating Co., Llc can be contacted via phone (970) 854-3400, or through Harlow, John via phone (402) 596-7206.
Contact Information
Primary practice address
118 South Interocean Ave
Holyoke CO 80734
Phone: (970) 854-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PDO-620000001 | Colorado |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1952574105 |
|---|---|
| LBN Legal business name | Pamida Stores Operating Co., Llc |
| DBA Doing business as | Pamida Pharmacy 687 |
| Authorized official | Harlow, John |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 9th, 2008 |
| Last updated | Nov 23rd, 2009 - about 15 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 | 1952574105 | NPPES |
| Colorado | MEDICAID | 44437323 | |
| Colorado | MEDICAID | 10025658900 |
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