Organization
FRONT RANGE PHARMACY
Active
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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