# UNION SQUARE PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588707251
- **Authorized official:** JOHN URRUTIA RPH (PHARMACIST MANAGER)
- **Authorized official phone:** (303) 274-7877

## Contact information

- **Practice address:** 8015 W ALAMEDA AVE, LAKEWOOD, CO 80226-3041
- **Practice address phone:** (303) 274-7877
- **Practice address fax:** (303) 274-7974
- **Mailing address:** 8015 W ALAMEDA AVE, SUITE 100, LAKEWOOD, CO 80226-3041
- **Mailing address phone:** (303) 274-7877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 730000030 | CO | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03879004 | — | CO |
| 01 | — | 0609389 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |