Organization
THE MEMORIAL HOSPITAL
Active
Organization
THE MEMORIAL HOSPITAL
Active
Other names
Community Pharmacy at Memorial Regional Health, Community Clinics at Memorial Regional Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALIA BAILEY (CREDENTIALER)
(970) 824-9411
Entity
Organization
Contact information
Practice address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 824-9411
(970) 826-3119
Mailing address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 824-9411
(970) 826-3119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO.1680000152
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171012
PK
—
05
—
9000156463
—
CO
Enumeration date
08/22/2017
Last updated
04/04/2024
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