Organization
ORION PHARMACY, INC.
Active
Other names
Orion Pharmacy & Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN GERARD FYFE RPH (OWNER)
(303) 655-1041
Entity
Organization
Contact information
Practice address
1010 4TH ST, ORION, IL 61273-7731
(303) 655-1041
Mailing address
4970 MT CAMERON DR, BRIGHTON, CO 80601-6797
(303) 655-1041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054013720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1411949
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/09/2006
Last updated
09/13/2010
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