Organization
FRONT RANGE PHARMACY
Active
Other names
FRP LONG TERM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EDDIE SCRUGGS II PHARMD (PHARMACIST/CO-OWNER)
(864) 680-0299
Entity
Organization
Contact information
Practice address
3401 S BROADWAY UNIT 180, ENGLEWOOD, CO 80113-2526
(720) 405-5125
(720) 405-5126
Mailing address
3401 S BROADWAY UNIT 180, ENGLEWOOD, CO 80113-2526
(720) 405-5125
(720) 405-5126
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0627060
RETAIL PHARMACY NCPDP
—
01
—
1386275527
RETAIL PHARMACY NPI
—
05
—
9000180774
—
CO
Enumeration date
07/22/2022
Last updated
03/14/2023
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