Healthcare Provider Details

I. General information

NPI: 1053332007
Provider Name (Legal Business Name): BGS PHARMACY PARTNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4465 NORTHPARK DR STE #303
COLORADO SPRINGS CO
80907
US

IV. Provider business mailing address

4465 NORTHPARK DR STE #303
COLORADO SPRINGS CO
80907
US

V. Phone/Fax

Practice location:
  • Phone: 719-471-7810
  • Fax: 719-471-7804
Mailing address:
  • Phone: 719-471-7810
  • Fax: 719-471-7804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number240000124
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number240000124
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number240000124
License Number StateCO

VIII. Authorized Official

Name: EILENE RIEBER
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 719-741-7810