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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