Organization
APOTHECA LLC
Active
Other names
Apotheca at Ridgway
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COMMON (PIC, MANAGING MEMBER)
(970) 728-0488
Entity
Organization
Contact information
Practice address
171 N. CORA ST., SUITE 100, RIDGWAY, CO 81432
(970) 626-4432
(970) 626-4032
Mailing address
PO BOX 1299, RIDGWAY, CO 81432-1299
(970) 626-4432
(970) 626-4032
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
OO.0000611
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177724
PK
—
Enumeration date
04/17/2018
Last updated
05/22/2018
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