Organization
DAVITA PHARMACY COLORADO, LLC
Active
Other names
Colorado Springs Health Partners Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HILGER (CHIEF ACCOUNTING OFFICER)
(253) 973-0777
Entity
Organization
Contact information
Practice address
1633 MEDICAL CENTER POINT, COLORADO SPRINGS, CO 80907
(719) 633-2762
(715) 575-9406
Mailing address
2 S CASCADE AVE, SUITE 140, COLORADO SPRINGS, CO 80903-1653
(719) 538-2900
(719) 538-2987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO0240000008
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06085288
—
CO
01
—
2150668
PK
—
05
—
91886872
—
CO
Enumeration date
12/27/2006
Last updated
03/15/2017
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