Pueblo Community Health Center Pharmacy
LBN: Pueblo Community Health Center Inc
Pueblo Community Health Center Pharmacy is an health care organization with primary practice located at 110 E Routt Ave , Pueblo CO 81004-2117. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pueblo Community Health Center Inc can be contacted via phone (719) 543-8718, or through Mccarthy, Justin via phone (719) 543-8718.
Contact Information
Primary practice address
110 E Routt Ave
Pueblo CO 81004-2117
Phone: (719) 543-8718
Fax: (719) 543-6505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1040000066 | Colorado |
Profile Details
| NPI number | 1801818398 |
|---|---|
| LBN Legal business name | Pueblo Community Health Center Inc |
| DBA Doing business as | Pueblo Community Health Center Pharmacy |
| Authorized official | Mccarthy, Justin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 17th, 2017 - about 7 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 | 1801818398 | NPPES |
| Other | 2003414 | PK | |
| MEDICAID | 82150541 | PK |
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