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RALEIGH PROF PHARMACY INC NPI 1649382573


NPI Information

NPI: 1649382573
Provider Name: RALEIGH PROF PHARMACY INC

Doing Business As: RALEIGH PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4200 W CONEJOS PL
DENVER, CO
ZIP 80204
Phone: (303) 573-5601
Get Directions

RALEIGH PROF PHARMACY INC is a pharmacy in Denver, 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. RALEIGH PROF PHARMACY INC NPI is 1649382573. The provider is registered as an organization entity type.
The provider Is Doing Business As Raleigh Pharmacy.

The provider's business location address is:

4200 W CONEJOS PL
DENVER, CO
ZIP 80204-333
Phone: (303) 573-5601
Fax: (303) 893-1039

The provider's authorized official is Tim Ward .
The authorized official title is President and has the following contact phone number (303) 573-5601.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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
1333600000XPharmacy166COLORADOYes
23336C0003XPharmacyCommunity/Retail PharmacyX
33336L0003XPharmacyLong Term Care PharmacyX

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
103728169MEDICAIDCOLORADO
20603414OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.