Organization
RALEIGH PROF PHARMACY INC
Active
Other names
RALEIGH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIM WARD (PRESIDENT)
(303) 573-5601
Entity
Organization
Contact information
Practice address
4200 W CONEJOS PL, DENVER, CO 80204-1333
(303) 573-5601
(303) 893-1039
Mailing address
4200 W CONEJOS PL, DENVER, CO 80204-1333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
166
CO
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03728169
—
CO
01
—
0603414
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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