Organization
ILIFF PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE CHON RPH (PHARMACY MANAGER)
(303) 696-0155
Entity
Organization
Contact information
Practice address
10730 E ILIFF AVE, AURORA, CO 80014-4707
(303) 696-0155
(303) 696-0188
Mailing address
10730 E ILIFF AVE, AURORA, CO 80014-4707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
551
CO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04171543
—
CO
01
—
0618908
OTHER ID NUMBER
—
Enumeration date
11/08/2006
Last updated
09/13/2007
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