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ANDERSON FAMILY PHARMACY INC NPI 1760401046


NPI Information

NPI: 1760401046
Provider Name: ANDERSON FAMILY PHARMACY, INC

Doing Business As: BASALT CLINIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
110 MIDLAND AVE
BASALT, CO
ZIP 81621
Phone: (970) 927-3833
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ANDERSON FAMILY PHARMACY, INC is a community/retail pharmacy pharmacy in Basalt, CO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ANDERSON FAMILY PHARMACY, INC NPI is 1760401046. The provider is registered as an organization entity type.
The provider Is Doing Business As Basalt Clinic Pharmacy.

The provider's business location address is:

110 MIDLAND AVE
BASALT, CO
ZIP 81621-305
Phone: (970) 927-3833
Fax: (970) 927-2538

The provider's authorized official is Tad Anderson .
The authorized official title is Owner And Pic and has the following contact phone number (970) 927-3833.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 1/18/2017.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy1330000001COLORADOYes

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
103002383MEDICAIDCOLORADO
22002678OTHERPK

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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