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General NPI Number Information
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NPI Number | 1952717878
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Entity Type | Organization
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Legal Business Name | HAXTUN HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 125 S COLORADO AVE
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City | HAXTUN
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State | CO
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Zip | 80731-5011
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Country | US
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Telephone | 970-774-6979
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Fax | 970-774-7598
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Provider Business Mailing Address
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Address Line | 235 W FLETCHER ST
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City | HAXTUN
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State | CO
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Zip | 80731-2737
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Country | US
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Telephone | 970-774-6979
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Fax | 970-774-7598
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. ELLEN A MCCONNELL
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Credential | PHARMD
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Telephone | 970-774-6979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1680000065
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License Number State | CO
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