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PROFESSIONAL PHARMACY LLC NPI 1013152198


NPI Information

NPI: 1013152198
Provider Name: PROFESSIONAL PHARMACY LLC

Doing Business As: PROFESSIONAL PHARMACY, LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 06D2148899

Address:
595 CHAPEL HILLS DR STE 104
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 633-8278
Get Directions

PROFESSIONAL PHARMACY LLC is a pharmacy in Colorado Springs, CO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PROFESSIONAL PHARMACY LLC NPI is 1013152198. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Pharmacy, Llc.

The provider's business location address is:

595 CHAPEL HILLS DR STE 104
COLORADO SPRINGS, CO
ZIP 80920-024
Phone: (719) 633-8278
Fax: (719) 228-6911

The provider's authorized official is Ken Waterhouse .
The authorized official title is Cfo and has the following contact phone number (719) 532-9705.

The CLIA number assigned to this NPI record is 06D2148899 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 2/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacy754COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
144283385MEDICAIDCOLORADO
22118132OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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