Organization
VAIL VALLEY PHARMACY
Active
Other names
Vail Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY LAMBRECHT PHARMD (OWNER/OPERATOR)
(970) 569-4150
Entity
Organization
Contact information
Practice address
105 EDWARDS VILLAGE BLVD STE G-107, EDWARDS, CO 81632
(970) 569-4150
(970) 569-4149
Mailing address
PO BOX 2868, EDWARDS, CO 81632-2868
(970) 476-7308
(970) 476-7306
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
839
CO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131349
PK
—
05
—
92209769
—
CO
Enumeration date
04/05/2012
Last updated
12/02/2014
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