Organization
CITY EMPLOYEE PHARMACY
Active
Other names
CITY EMPLOYEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA JAQUES AAS (ADMINISTRATIVE ASSISTANT)
(806) 324-5400
Entity
Organization
Contact information
Practice address
30 S NEVADA, COLORADO SPRINGS, CO 80903
(719) 385-2261
(713) 985-2264
Mailing address
320 S POLK ST STE 100, AMARILLO, TX 79101-1436
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
604
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619443
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/25/2006
Last updated
04/09/2009
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