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Organization
BATTLEMENT GROCERY LLC
Active
Organization
BATTLEMENT GROCERY LLC
Active
Other names
Clarks Pharmacy Battlement
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RASMUSSEN (PHARMACY MANAGER)
(970) 285-5661
Entity
Organization
Contact information
Practice address
71 SIPPRELLE DR, PARACHUTE, CO 81635-9232
(970) 285-5661
(970) 285-0149
Mailing address
818 S MAIN ST, BLANDING, UT 84511-3911
(970) 925-5295
(970) 925-5296
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PDO0000000781
CO
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00021385
—
CO
05
—
1043536014
—
CO
01
—
2123278
PK
—
Enumeration date
09/03/2009
Last updated
04/04/2013
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