Organization
JEFFERSON CENTER FOR MENTAL HEALTH
Active
Other names
Blue Spruce Pharmacy at Independence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW VANDER KOOI PHARMD (DIRECTOR OF PHARMACY)
(303) 432-5725
Entity
Organization
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 432-5725
(303) 432-5724
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 432-5725
(303) 432-5724
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1680000103
CO
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04680057
—
CO
01
—
2157466
PK
—
Enumeration date
01/12/2016
Last updated
10/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us