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Organization

FTHLLS FAM PHCY OF LOUISVILLE LLC

Active
Other names
FOOTHILLS FAMILY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN TYREE PHARMD (PRESIDENT)
(303) 250-0466
Entity
Organization

Contact information

Practice address
90 HEALTH PARK DR, STE 130, LOUISVILLE, CO 80027-9757
(303) 926-0031
(303) 926-1177
Mailing address
90 HEALTH PARK DR, STE 130, LOUISVILLE, CO 80027-9757

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
651
CO
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0619948
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/22/2006
Last updated
09/11/2025
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