Organization
SAINT VRAIN PHARMACIES INC
Active
Other names
St. Vrain Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES A. LOVIN M.S.,RPH. (PRESIDENT)
(303) 823-9134
Entity
Organization
Contact information
Practice address
440 MAIN STREET, BOX 949, LYONS, CO 80540
(303) 823-9134
(303) 823-9140
Mailing address
440 MAIN STREET, BOX 949, LYONS, CO 80540
(303) 823-9134
(303) 823-9140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1520000001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45477868
—
CO
01
—
630
CONTRACT AGENCY
CO
Enumeration date
09/27/2006
Last updated
08/22/2020
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