Organization
OPERA HOUSE PHARMACY CO INC
Active
Organization
OPERA HOUSE PHARMACY CO INC
Active
Other names
OPERA HOUSE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD VASQUEZ R.PH (PRESIDENT)
(719) 384-2521
Entity
Organization
Contact information
Practice address
223 COLORADO AVE, LA JUNTA, CO 81050-1517
(719) 384-2521
(719) 384-2523
Mailing address
223 COLORADO AVE, PO BOX 377, LA JUNTA, CO 81050-1517
(719) 384-2521
(719) 384-2523
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
720000007
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03628500
—
CO
01
—
2000783
PK
—
Enumeration date
01/16/2007
Last updated
10/12/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up