Raleigh Pharmacy

LBN: Raleigh Prof Pharmacy Inc
Raleigh Pharmacy is an health care organization with primary practice located at 4200 W Conejos Pl , Denver CO 80204-1333. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Raleigh Prof Pharmacy Inc can be contacted via phone (303) 573-5601, or through Ward, Tim via phone (303) 573-5601.

Contact Information

Primary practice address
4200 W Conejos Pl Denver CO 80204-1333
Phone: (303) 573-5601
Fax: (303) 893-1039
Website:
Map and Directions
Authorized official contact:
Name: Ward, Tim
Phone: (303) 573-5601

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 166 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1649382573
LBN Legal business name Raleigh Prof Pharmacy Inc
DBA Doing business as Raleigh Pharmacy
Authorized official Ward, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - 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 1649382573 NPPES
Colorado MEDICAID 03728169
Colorado Other 0603414

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