Woodridge Pharmacy

LBN: Prestine Pharmacies Inc
Woodridge Pharmacy is an health care organization with primary practice located at 2020 Wadsworth Blvd , Lakewood CO 80214-5728. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prestine Pharmacies Inc can be contacted via phone (303) 237-2717, or through Pepper, Russel via phone (303) 237-2717.

Contact Information

Primary practice address
2020 Wadsworth Blvd Lakewood CO 80214-5728
Phone: (303) 237-2717
Fax: (303) 237-2718
Website:
Map and Directions
Authorized official contact:
Name: Pepper, Russel
Phone: (303) 237-2717

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Pharmacy 333600000X Colorado

Profile Details

NPI number 1487722625
LBN Legal business name Prestine Pharmacies Inc
DBA Doing business as Woodridge Pharmacy
Authorized official Pepper, Russel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1487722625 NPPES
Other 0601371 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 03965159 OTHER ID NUMBER-COMMERCIAL NUMBER

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