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SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC NPI 1720525124


NPI Information

NPI: 1720525124
Provider Name: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

Other Name: INTERMOUNTAIN HEALTH GOOD SAMARITAN PHARMACY

Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

Address:
200 EXEMPLA CIR STE P1-142
LAFAYETTE, CO
ZIP 80026
Phone: (303) 689-6121
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SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC is an institutional pharmacy pharmacy in Lafayette, CO. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC NPI is 1720525124. The provider is registered as an organization entity type.
The provider Other Name Is Intermountain Health Good Samaritan Pharmacy.

The provider's business location address is:

200 EXEMPLA CIR STE P1-142
LAFAYETTE, CO
ZIP 80026-370
Phone: (303) 689-6121
Fax: (303) 689-6126

The provider's authorized official is Daniel Madrid .
The authorized official title is Pic, Ao and has the following contact phone number (303) 689-6121.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 11/7/2023.


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 PharmacyPDO.1680000162COLORADONo
33336I0012XPharmacyInstitutional PharmacyYes

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
12176193OTHERPK

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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