Healthcare Provider Details

I. General information

NPI: 1699371526
Provider Name (Legal Business Name): VEROS BIOLOGICS PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6789 S YOSEMITE ST STE 4
CENTENNIAL CO
80112-1443
US

IV. Provider business mailing address

2801 NETWORK BLVD STE 505
FRISCO TX
75034-1895
US

V. Phone/Fax

Practice location:
  • Phone: 303-968-1915
  • Fax: 720-266-4926
Mailing address:
  • Phone: 833-765-3648
  • Fax: 603-718-3824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANDREW C. WALK
Title or Position: CEO
Credential:
Phone: 833-765-3648