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Organization
UNION SQUARE PHARMACY INC.
Active
Organization
UNION SQUARE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN URRUTIA RPH (PHARMACIST MANAGER)
(303) 274-7877
Entity
Organization
Contact information
Practice address
8015 W ALAMEDA AVE, LAKEWOOD, CO 80226-3041
(303) 274-7877
(303) 274-7974
Mailing address
8015 W ALAMEDA AVE, SUITE 100, LAKEWOOD, CO 80226-3041
(303) 274-7877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
730000030
CO
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03879004
—
CO
01
—
0609389
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/14/2007
Last updated
06/17/2008
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