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SHAVANO PHARMACY LLC NPI 1487275129


NPI Information

NPI: 1487275129
Provider Name: SHAVANO PHARMACY LLC

Former Legal Business Name: SHAVANO PHARMACY LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
415 US HIGHWAY 24 N
BUENA VISTA, CO
ZIP 81211
Phone: (816) 804-6412
Get Directions

SHAVANO PHARMACY LLC is a pharmacy in Buena Vista, 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. SHAVANO PHARMACY LLC NPI is 1487275129. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Shavano Pharmacy Llc.

The provider's business location address is:

415 US HIGHWAY 24 N
BUENA VISTA, CO
ZIP 81211
Phone: (816) 804-6412

The provider's authorized official is Rebecca Anne Seaman .
The authorized official title is Owner/pharmacist and has the following contact phone number (719) 398-6550.

The enumeration date for this NPI number is 5/5/2020 and was last updated on 11/17/2020.


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
1333600000XPharmacyYes

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
11053755363MEDICAIDCOLORADO

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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