Organization
LEVI PHARMACY INC
Active
Other names
KOHLERS APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY DAVID LEVI R.PH. (PRESIDENT PHARMACY MANAGER)
(719) 597-7998
Entity
Organization
Contact information
Practice address
4020 PALMER PARK BLVD, 102C, COLORADO SPRINGS, CO 80909-3402
(719) 597-7998
(719) 597-6951
Mailing address
4020 PALMER PARK BLVD, 102C, COLORADO SPRINGS, CO 80909-3402
(719) 597-7998
(719) 597-6951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9538
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03491255
—
CO
01
—
0602296
NCPDP PROVIDER ID
—
Enumeration date
10/19/2006
Last updated
07/23/2015
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