PDC PHARMACY COLORADO INC NPI 1831418581

NPI Information

  • NPI: 1831418581
  • Provider Name: PDC PHARMACY COLORADO INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: PDC PHARMACY COLORADO, INC
  • Address: 4665 NAUTILUS CT S STE 101
    BOULDER, CO
    ZIP 80301
  • Phone: (303) 530-1188

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NPI Details

PDC PHARMACY COLORADO INC is a long term care pharmacy pharmacy in Boulder, CO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PDC PHARMACY COLORADO INC NPI is 1831418581. The provider is registered as an organization entity type.
The provider Is Doing Business As Pdc Pharmacy Colorado, Inc.

The provider's business location address is:

4665 NAUTILUS CT S STE 101
BOULDER, CO
ZIP 80301-263
Phone: (303) 530-1188
Fax: (303) 530-1151

The provider's authorized official is Christina Funkhouser .
The authorized official title is Vp Of Operations and has the following contact phone number (412) 820-1010.

The enumeration date for this NPI number is 5/20/2010 and was last updated on 12/24/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPDO-0000000799COLORADOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12125117OTHERPK
231522548MEDICAIDCOLORADO

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: 3/30/2025

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