Healthcare Provider Details

I. General information

NPI: 1346300571
Provider Name (Legal Business Name): USPRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W MAIN ST
STERLING CO
80751-3034
US

IV. Provider business mailing address

410 W MAIN ST
STERLING CO
80751-3034
US

V. Phone/Fax

Practice location:
  • Phone: 970-522-1302
  • Fax: 970-522-1310
Mailing address:
  • Phone: 970-522-1302
  • Fax: 970-522-1310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1150000009
License Number StateCO

VIII. Authorized Official

Name: BRIAN WILSON
Title or Position: PRESIDENT
Credential:
Phone: 308-284-2242