Organization
PHARMACY SERVICES INC.
Active
Other names
ARKANSAS VALLEY ACCUMED
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CASPER (MANAGER)
(719) 267-3544
Entity
Organization
Contact information
Practice address
226 MAIN ST, ORDWAY, CO 81063-1403
(719) 267-3544
(719) 267-4443
Mailing address
228 MAIN ST, ORDWAY, CO 81063-1403
(719) 267-3544
(719) 267-4443
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0347000003
CO
3336L0003X
Long Term Care Pharmacy
Primary
960000003
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001625
—
CO
01
—
960000003
STATE PHARMACY LICENSE
CO
Enumeration date
08/14/2006
Last updated
03/19/2021
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