Organization
KREMMLING MERCANTILE LLC
Active
Other names
KREMMLING MERCANTILE
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HAMMER RPH (CONTROLLER)
(970) 724-3400
Entity
Organization
Contact information
Practice address
101 MARTIN WAY, KREMMLING, CO 80459
(970) 724-3205
(970) 724-3225
Mailing address
PO BOX 1600, KREMMLING, CO 80459-1600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
623
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003836
PK
—
05
—
28929039
—
CO
Enumeration date
12/27/2006
Last updated
01/18/2017
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