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POUDRE DRUG COMPANY NPI 1306971171


NPI Information

NPI: 1306971171
Provider Name: POUDRE DRUG COMPANY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1221 EAST ELIZABETH
SUITE 1
FORT COLLINS, CO
ZIP 80524
Phone: (970) 484-2777
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POUDRE DRUG COMPANY is a pharmacy in Fort Collins, 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. POUDRE DRUG COMPANY NPI is 1306971171. The provider is registered as an organization entity type.

The provider's business location address is:

1221 EAST ELIZABETH
SUITE 1
FORT COLLINS, CO
ZIP 80524-066
Phone: (970) 484-2777
Fax: (970) 407-0449

The provider's authorized official is Robert Walter Reed .
The authorized official title is Owner Pharmacist and has the following contact phone number (970) 484-2777.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/18/2008.


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
1333600000XPharmacy440000009COLORADOYes

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
103698842MEDICAIDCOLORADO

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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