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General NPI Number Information
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NPI Number | 1750024683
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Entity Type | Organization
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Legal Business Name | CATHOLIC HEALTH INIATIVES COLORADO
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 340 PEAK ONE DRIVE
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-668-9588
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 738
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City | FRISCO
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State | CO
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Zip | 80443-0738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | BRANDON FERLAS
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Credential |
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Telephone | 720-627-0083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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