Organization
EXEMPLA GOOD SAMARITAN OUTPATIENT PHARMACY
Active
Other names
EXEMPLA GOOD SAMARITAN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUG MALCOLM PHARM.D. (CLINICAL PHARMACIST)
(303) 689-4996
Entity
Organization
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 689-6121
Mailing address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 689-6121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
578
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619265
NCPDP PROVIDER ID
CO
05
—
07856539
—
CO
Enumeration date
01/22/2014
Last updated
01/22/2014
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