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NPI Code Detail

MEDICARE: ALAMEDA PHARMACY AND MEDICAL SUPPLY

MEDICARE: ALAMEDA PHARMACY AND MEDICAL SUPPLY
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
13336C0004XCompounding Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy
43336C0003XCommunity/Retail Pharmacy1680000108CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12156173OTHERPK

General Provider Information

NPI Number : 1437526266
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAMEDA PHARMACY AND MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 2370 W ALAMEDA AVE UNIT 8
Second Line :
City : DENVER
State : CO
Zip : 80223-1991
Country : US
Telephone Number : 303-934-9096
Fax Number :
Provider Business Practice Location Address
First Line : 2370 W ALAMEDA AVE UNIT 8
Second Line :
City : DENVER
State : CO
Zip : 80223-1991
Country : US
Telephone Number : 303-934-9096
Fax Number :
Authorized Official
Title or Position : PHARMACIST/OWNER
Name : GEORGE SACKEY
Credential :
Telephone Number : 303-668-0032
Provider Enumeration Date : 08/27/2015
Last Update Date : 06/27/2016

Similar Medicare Providers

1841518404 — IDEA FORUM INC.
Practice Location Address:
2370 W ALAMEDA AVE
DENVER, CO
80223-1991
Practice Phone: 303-477-8280
Practice Fax: 303-477-1369
1972921039 — NANCY ORTIZ MORENO MA, LAC, ADVTP, ATP
Practice Location Address:
2370 W ALAMEDA AVE UNIT 8
DENVER, CO
80223-1991
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Practice Fax:
1629449087 — ALAMEDA PRIMARY CARE CLINIC
Practice Location Address:
2370 W ALAMEDA AVE UNIT 5
DENVER, CO
80223-1991
Practice Phone: 303-936-5337
Practice Fax:
1538673157 — JUANA ARROYO SOTO CAC II
Practice Location Address:
2370 W ALAMEDA AVE
DENVER, CO
80223-1991
Practice Phone: 303-477-8280
Practice Fax: 303-477-8280
1851858245 — ELIZABETH BOJANOWSKI
Practice Location Address:
2370 W ALAMEDA AVE UNIT 8
DENVER, CO
80223-1991
Practice Phone: 303-477-8280
Practice Fax:
1083252803 — ANN F PADILLA-PARRAS CAC II
Practice Location Address:
2370 W ALAMEDA AVE UNIT 8
DENVER, CO
80223-1991
Practice Phone: 303-477-8280
Practice Fax:

Directions to “ALAMEDA PHARMACY AND MEDICAL SUPPLY ” Practice Location

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