# BATTLEMENT GROCERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarks Pharmacy Battlement
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942433198
- **Authorized official:** LISA RASMUSSEN (PHARMACY MANAGER)
- **Authorized official phone:** (970) 285-5661

## Contact information

- **Practice address:** 71 SIPPRELLE DR, PARACHUTE, CO 81635-9232
- **Practice address phone:** (970) 285-5661
- **Practice address fax:** (970) 285-0149
- **Mailing address:** 818 S MAIN ST, BLANDING, UT 84511-3911
- **Mailing address phone:** (970) 925-5295
- **Mailing address fax:** (970) 925-5296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PDO0000000781 | CO | Yes |
| 3336C0002X | Clinic Pharmacy | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 09/03/2009
- **Last updated:** 04/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00021385 | — | CO |
| 05 | — | 1043536014 | — | CO |
| 01 | — | 2123278 | PK | — |