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NPI Code Detail

MEDICARE: WINDSOR COMMUNITY PHARMACY

MEDICARE: WINDSOR COMMUNITY PHARMACY
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
13336C0003XCommunity/Retail PharmacyCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20617449OTHEROTHER ID NUMBER

General Provider Information

NPI Number : 1568556538
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDSOR COMMUNITY PHARMACY
Provider Business Mailing Address
First Line : 1300 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-5989
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-5989
Country : US
Telephone Number : 970-674-3160
Fax Number : 970-674-3163
Authorized Official
Title or Position : PHARMACY MANAGER
Name : KARI SEAY
Credential :
Telephone Number : 970-674-3160
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/13/2007

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Directions to “WINDSOR COMMUNITY PHARMACY ” Practice Location

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