Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Other names
CLINICA CAMPESINA LAFAYETTE
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON SMITH (CEO)
(303) 665-2962
Entity
Organization
Contact information
Practice address
1735 S PUBLIC RD # 100, LAFAYETTE, CO 80026-7093
(303) 665-9310
(303) 328-2691
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-9310
(303) 328-2691
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
322
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997828
PK
—
Enumeration date
04/25/2008
Last updated
01/28/2019
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