Organization
HEALTH TRANS PHARMACY
Active
Other names
HEALTH TRANS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MANDERNACK PHARMACIST (PHARMACIST IN CHARGE)
(877) 839-8121
Entity
Organization
Contact information
Practice address
8300 E MAPLEWOOD AVE, GREENWOOD VILLAGE, CO 80111-4804
(877) 839-8121
(877) 289-0617
Mailing address
8300 E MAPLEWOOD AVE, GREENWOOD VILLAGE, CO 80111-4804
(877) 839-8121
(877) 289-0617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
16163
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619734
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/15/2006
Last updated
10/20/2011
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