Wheat Ridge Professional Pharmacy

LBN: Wheatridge Drug Store Llc
Wheat Ridge Professional Pharmacy is an health care organization with primary practice located at 6650 W 38Th Ave , Wheat Ridge CO 80033-4906. 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 / Community/Retail Pharmacy is the primary health care specialty. Wheatridge Drug Store Llc can be contacted via phone (303) 421-6111, or through Dilorenzo, Wendy via phone (303) 421-6111.

Contact Information

Primary practice address
6650 W 38Th Ave Wheat Ridge CO 80033-4906
Fax: (303) 431-8320
Website:
Authorized official contact:
Name: Dilorenzo, Wendy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1280000012 Colorado
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1811389174
LBN Legal business name Wheatridge Drug Store Llc
DBA Doing business as Wheat Ridge Professional Pharmacy
Authorized official Dilorenzo, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2015
Last updated Oct 28th, 2021 - about 3 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 1811389174 NPPES
Other 2151932 PK
MEDICAID 5080-3883 PK

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