Organization
UCH-MHS
Active
Other names
UCHEALTH SPRINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALAN HARDEN (CFO)
(719) 365-5000
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST RM 1160, COLORADO SPRINGS, CO 80909-5533
(719) 365-2525
Mailing address
1400 E BOULDER ST RM 1160, COLORADO SPRINGS, CO 80909-5533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PDO-990000066
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0617110
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/21/2006
Last updated
12/04/2023
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