Organization
STERLING GROCERY MART PHARMACY INC
Active
Organization
STERLING GROCERY MART PHARMACY INC
Active
Other names
Sterling Grocery Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE HILTY (OWNER)
(970) 522-7892
Entity
Organization
Contact information
Practice address
419 N 3RD ST STE B, STERLING, CO 80751-3326
(970) 522-2130
(970) 522-2705
Mailing address
419 N 3RD ST STE B, STERLING, CO 80751-3326
(970) 522-2130
(970) 522-2705
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0622058
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
10026008500
—
NE
05
—
710008276
—
CO
Enumeration date
03/28/2011
Last updated
01/22/2013
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