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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