Organization
VAIL CLINIC, INC.
Active
Other names
Vail Health Pharmacy, Edwards Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G BROWN (SVP & CFO)
(970) 479-7272
Entity
Organization
Contact information
Practice address
322 BEARD CREEK RD, EDWARDS, CO 81632-6426
(970) 569-7676
(970) 569-7677
Mailing address
PO BOX 2706, EDWARDS, CO 81632-2706
(970) 569-7676
(970) 569-7677
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PDO.1470000002
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03003720
—
CO
01
—
2003237
PK
—
Enumeration date
01/13/2006
Last updated
01/08/2025
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