MEDICARE: PHARMACIES WEST INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy	2434	CO
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0602359	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1194837021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACIES WEST INC

Provider Business Mailing Address
First Line	:	3159 W COLORADO AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-2040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3159 W COLORADO AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-2040
Country	:	US
Telephone Number	:	719-475-9030
Fax Number	:	719-381-4453

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	BARRY PATTERSON
Credential	:	RPH
Telephone Number	:	719-475-9030

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/07/2023

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Directions to “PHARMACIES WEST INC ” Practice Location

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