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PUEBLO COMMUNITY HEALTH CENTER INC NPI 1790730737


NPI Information

NPI: 1790730737
Provider Name: PUEBLO COMMUNITY HEALTH CENTER INC

Doing Business As: PUEBLO COMMUNITY HEALTH CENTER PARK HILL

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1301 E 7TH ST
PUEBLO, CO
ZIP 81001
Phone: (719) 476-0220
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PUEBLO COMMUNITY HEALTH CENTER INC is a community/retail pharmacy pharmacy in Pueblo, 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. PUEBLO COMMUNITY HEALTH CENTER INC NPI is 1790730737. The provider is registered as an organization entity type.
The provider Is Doing Business As Pueblo Community Health Center Park Hill.

The provider's business location address is:

1301 E 7TH ST
PUEBLO, CO
ZIP 81001
Phone: (719) 476-0220
Fax: (719) 545-5587

The provider's authorized official is Justin Mccarthy .
The authorized official title is Coo and has the following contact phone number (719) 543-8718.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 1/14/2022.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy650COLORADOYes

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
12003867OTHERPK
288408884MEDICAIDCOLORADO

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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