Professional Pharmacy, Llc

LBN: Professional Pharmacy, Llc
Professional Pharmacy, Llc is an health care organization with primary practice located at 595 Chapel Hills Dr Ste 104 , Colorado Springs CO 80920-1024. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Professional Pharmacy, Llc can be contacted via phone (719) 633-8278, or through Waterhouse, Ken via phone (719) 532-9705.

Contact Information

Primary practice address
595 Chapel Hills Dr Ste 104 Colorado Springs CO 80920-1024
Phone: (719) 633-8278
Fax: (719) 228-6911
Website:
Map and Directions
Authorized official contact:
Name: Waterhouse, Ken
Phone: (719) 532-9705

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1396309829
LBN Legal business name Professional Pharmacy, Llc
DBA Doing business as
Authorized official Waterhouse, Ken
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2019
Last updated Apr 30th, 2019 - about 5 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 1396309829 NPPES
Colorado MEDICAID 44283385

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