Organization
PHARMACA INTEGRATIVE PHARMACY, INC.
Active
Parent organization
PHARMACA INTEGRATIVE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMACA INTEGRATIVE PHARMACY
Authorized official
GREG LEGORE (DIRECTOR OF PHARMACY OPERATIONS)
(805) 217-9926
Entity
Organization
Contact information
Practice address
1647 PEARL STREET, BOULDER, CO 80302
(303) 442-5164
(303) 939-9388
Mailing address
4940 PEARL EAST CIRCLE, SUITE 301, BOULDER, CO 80301-2489
(303) 867-3182
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
90000004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0601787
OTHER ID NUMBER
—
05
—
58-322272
—
CO
05
—
58322272
—
CO
Enumeration date
07/22/2006
Last updated
08/03/2018
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