Organization
CHOICE CITY DRUG, INC
Active
Other names
city drug
Organization subpart
No
Provider details
NPI number
Authorized official
BERNHARD C WILKINS BSCHEM,BSPHARM,BOC, (CEO)
(970) 482-1234
Entity
Organization
Contact information
Practice address
209 S COLLEGE AVE, FORT COLLINS, CO 80524-2808
(970) 482-1234
(970) 482-1098
Mailing address
209 N COLLEGE AVE, FORT COLLINS, CO 80524-2808
(970) 482-1234
(970) 482-2412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
440000004
CO
332BC3200X
Customized Equipment (DME)
440000004
CO
332BN1400X
Nursing Facility Supplies (DME)
440000004
CO
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
440000004
CO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001328
—
CO
01
—
0611776
NABP
CO
Enumeration date
08/12/2006
Last updated
08/07/2020
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