Organization
HOLYOKE DRUG COMPANY
Active
Organization
HOLYOKE DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK RUMOLD RPH (OWNER)
(970) 854-3400
Entity
Organization
Contact information
Practice address
118 S INTEROCEAN AVE, HOLYOKE, CO 80734-1533
(970) 854-3400
(970) 854-3431
Mailing address
118 S INTEROCEAN AVE, HOLYOKE, CO 80734-1533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
CO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03412012
—
CO
01
—
0604682
OTHER ID NUMBER
—
Enumeration date
02/06/2007
Last updated
04/20/2008
Update your record
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