Organization
ABTS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKILEE KNIGHT EINHELLIG (MANAGING PARTNER)
(970) 461-1975
Entity
Organization
Contact information
Practice address
121 CEDAR STREET, JULESBURG, CO 80737
(970) 474-3672
(970) 474-3727
Mailing address
3780 E 15TH STREET, SUITE 102, LOVELAND, CO 80538
(970) 461-1975
(970) 461-4042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
670000002
CO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150536
PK
—
05
—
35257377
—
CO
Enumeration date
05/31/2009
Last updated
06/28/2018
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