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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