Organization
HAVANA PHARMACY AND MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEYANABOU SEYE RPH (PHARMACY MANAGER/OWNER)
(303) 750-3600
Entity
Organization
Contact information
Practice address
1555 S HAVANA ST STE HJ, AURORA, CO 80012-5004
(303) 750-3600
(303) 750-3607
Mailing address
1555 S HAVANA ST STE HJ, AURORA, CO 80012-5004
(303) 750-3600
(303) 750-3607
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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