Organization
HALDUN INC A COLORADO CORPORATION
Active
Other names
Wheat Ridge Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIM MASSENGILL (PRESIDENT)
(303) 421-6111
Entity
Organization
Contact information
Practice address
6650 W 38TH AVE, WHEAT RIDGE, CO 80033-4906
(303) 421-6111
(303) 431-8320
Mailing address
6650 W 38TH AVE, WHEAT RIDGE, CO 80033-4906
(303) 421-6111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1280000012
CO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135198
PK
—
Enumeration date
11/01/2006
Last updated
07/02/2014
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