MEDICARE: BRIGHTON PHARMACY 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		CO

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

General Provider Information

NPI Number	:	1669532412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTON PHARMACY INC

Provider Business Mailing Address
First Line	:	1929 E EGBERT ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-2409
Country	:	US
Telephone Number	:	303-659-1900
Fax Number	:	303-659-7743

Provider Business Practice Location Address
First Line	:	1929 E EGBERT ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-2409
Country	:	US
Telephone Number	:	303-659-1900
Fax Number	:	303-659-7743

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JEFFREY ERNEST CLAWSON
Credential	:	RPH
Telephone Number	:	303-659-1900

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	03/07/2023

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Directions to “BRIGHTON PHARMACY INC ” Practice Location

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