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Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Active
Parent organization
PEAK VISTA COMMUNITY HEALTH CENTERS
Other names
Peak Vista Pharmacy at Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK VISTA COMMUNITY HEALTH CENTERS
Authorized official
PAMELA MCMANUS (PRESIDENT & CEO)
(791) 344-6453
Entity
Organization
Contact information
Practice address
3207 N ACADEMY BLVD, SUITE 1200, COLORADO SPRINGS, CO 80917
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917
(719) 344-6914
(719) 344-7865
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PDO.1680000025
CO
333600000X
Pharmacy
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05638267
—
CO
05
—
9000143434
—
CO
Enumeration date
04/02/2013
Last updated
04/21/2017
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