Organization
DAVITA PHARMACY COLORADO, LLC
Active
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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