Organization
PHARMACA INTEGRATIVE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG LEGORE (DIRECTOR OF PHARMACY OPERATIONS)
(805) 217-5986
Entity
Organization
Contact information
Practice address
645 SOUTH BOULDER, BOULDER, CO 80305
(303) 867-3400
Mailing address
4940 PEARL EAST CIRCLE, SUITE 301, BOULDER, CO 80302-5433
(303) 867-3182
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PDO670
CO
Other
Enumeration date
12/19/2006
Last updated
07/21/2017
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