Organization
CENTURA HEALTH PHARMACY @ MERCY REGIONAL MEDICAL CENTER
Active
Other names
Centura Health Pharmacy @ Mercy Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SWANSON (DIRECTOR OF PHARMACY)
(970) 764-1745
Entity
Organization
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 764-1745
(970) 764-1749
Mailing address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 764-1745
(970) 764-1749
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1680000142
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169783
PK
—
Enumeration date
07/28/2017
Last updated
05/07/2019
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