Sterling Grocery Mart Pharmacy

LBN: Sterling Grocery Mart Pharmacy Inc
Sterling Grocery Mart Pharmacy is an health care organization with primary practice located at 419 N 3Rd St Ste B , Sterling CO 80751-3326. 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. Sterling Grocery Mart Pharmacy Inc can be contacted via phone (970) 522-2130, or through Hilty, Lawrence via phone (970) 522-7892.

Contact Information

Primary practice address
419 N 3Rd St Ste B Sterling CO 80751-3326
Fax: (970) 522-2705
Website:
Authorized official contact:
Name: Hilty, Lawrence

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 819 Colorado

Profile Details

NPI number 1487953691
LBN Legal business name Sterling Grocery Mart Pharmacy Inc
DBA Doing business as Sterling Grocery Mart Pharmacy
Authorized official Hilty, Lawrence
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2011
Last updated Jan 22nd, 2013 - about 12 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 1487953691 NPPES
Colorado MEDICAID 710008276
Colorado Other 0622058
Colorado MEDICAID 10026008500

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