Organization
FOOTHILLS FAMILY PHARMACY OF LAFAYETTE, LLC
Active
Other names
Foothills Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN THOMAS TYREE JR. PHARMD (PRESIDENT)
(303) 604-5010
Entity
Organization
Contact information
Practice address
1000 W SOUTH BOULDER RD, SUITE 107, LAFAYETTE, CO 80026-2752
(303) 604-5010
(303) 604-5015
Mailing address
1000 W SOUTH BOULDER RD, SUITE 107, LAFAYETTE, CO 80026-2752
(303) 604-5010
(303) 604-5015
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
567
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619138
NCPDP
—
Enumeration date
12/14/2006
Last updated
08/22/2020
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