Organization
ARVADA PHARMACY AND MEDICAL SUPPLY
Active
Organization
ARVADA PHARMACY AND MEDICAL SUPPLY
Active
Other names
Arvada Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA UKHNOVSKY CPHT,MS (CEO)
(720) 707-2444
Entity
Organization
Contact information
Practice address
10382 RALSTON RD, ARVADA, CO 80004-5860
(720) 707-2444
(720) 707-2400
Mailing address
10382 RALSTON RD, ARVADA, CO 80004-5860
(720) 707-2444
(720) 707-2400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626599
NCPDP
—
01
—
20206000260
COLORADO STATE DME LICENSE
CO
01
—
38356159
COLORADO SALEX TAX LICENSE
CO
01
—
87071000
CITY OF ARVADA
CO
05
—
9000171561
—
CO
01
—
PDO.1680000194
STATE OF COLORADO BOARD OF PHARMACY
CO
Enumeration date
03/01/2019
Last updated
03/07/2023
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