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NPI Code Detail

MEDICARE: ASSOCIATED PHARMACISTS INC

MEDICARE: ASSOCIATED PHARMACISTS 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy450000002CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30608084OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1558356667
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATED PHARMACISTS INC
Provider Business Mailing Address
First Line : 7490 CLUBHOUSE RD
Second Line : STE 102A
City : BOULDER
State : CO
Zip : 80301-3720
Country : US
Telephone Number : 720-470-9080
Fax Number : 720-274-5472
Provider Business Practice Location Address
First Line : 1115 2ND ST
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1745
Country : US
Telephone Number : 303-857-1502
Fax Number : 720-274-5472
Authorized Official
Title or Position : PRESIDENT OWNER
Name : GREGORY DAVIS
Credential : RPH
Telephone Number : 720-470-9080
Provider Enumeration Date : 09/14/2005
Last Update Date : 10/28/2009

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Directions to “ASSOCIATED PHARMACISTS INC ” Practice Location

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