Organization
RANGELY DISTRCT HOSPITAL
Active
Other names
Rangely Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WREN (CEO)
(970) 675-5011
Entity
Organization
Contact information
Practice address
225 EAGLE CREST DR, RANGELY, CO 81648-3105
(970) 675-2169
(970) 675-2160
Mailing address
225 EAGLE CREST DR, RANGELY, CO 81648-3105
(970) 675-5011
(970) 675-5224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
793
CO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123530
PK
—
05
—
80489061
—
CO
Enumeration date
01/21/2010
Last updated
12/10/2021
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