Organization
CITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LUMPKIN (PRESIDENT)
(970) 867-5608
Entity
Organization
Contact information
Practice address
319 MAIN ST, FORT MORGAN, CO 80701-2108
(970) 867-5608
(970) 867-4724
Mailing address
319 MAIN ST, FORT MORGAN, CO 80701-2108
(970) 867-5608
(970) 867-4724
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03188125
—
CO
Enumeration date
11/22/2006
Last updated
08/22/2020
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