| Peak Vista Pharmacy At Union | |
|
225 S Union Garden Level Colorado Springs CO 80910 | |
| (719) 632-5700 | |
| (719) 228-6655 |
| Full Name | Peak Vista Pharmacy At Union |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 225 S Union, Colorado Springs, Colorado |
| Authorized Official Name and Position | Bradach Fitzwater (CFO) |
| Authorized Official Contact | 7193446188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Vista Pharmacy At Union 3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 Ph: (719) 344-6914 | Peak Vista Pharmacy At Union 225 S Union Garden Level Colorado Springs CO 80910 Ph: (719) 632-5700 |
| NPI Number | 1700834272 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700834272 | NPI | - | NPPES |
| 03000221 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
| 333600000X | Pharmacy | (* (Not Available)) | Secondary |
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