# COBIGRED INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hometown Pharmacy and Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053673699
- **Authorized official:** PATRICK SCHEELS (SECRETARY/OWNER)
- **Authorized official phone:** (303) 898-7183

## Contact information

- **Practice address:** 824 E MAIN ST, TRINIDAD, CO 81082-2782
- **Practice address phone:** (719) 845-0069
- **Practice address fax:** (719) 846-8439
- **Mailing address:** 824 E MAIN ST, TRINIDAD, CO 81082-2782
- **Mailing address phone:** (719) 845-0069
- **Mailing address fax:** (719) 846-8439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 557 | CO | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336C0004X | Compounding Pharmacy | — | — | — |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 06/11/2012
- **Last updated:** 06/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0622755 | NCPDP | CO |
| 01 | — | 1053673699 | NPI | CO |
| 01 | — | 2137541 | PK | — |
| 05 | — | 59624574 | — | CO |