Full Name | |
---|---|
Speciality | Pharmacy |
Location | 137 F Street, Salida, Colorado |
Authorized Official Name and Position | Lucas Smith (OWNER) |
Authorized Official Contact | 7194601465 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
137 F St Salida CO 81201-2101 Ph: (719) 530-4790 | 137 F Street Salida CO 81201 Ph: (719) 530-4790 |
NPI Number | 1740821289 |
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Provider Enumeration Date | 10/07/2019 |
Last Update Date | 08/06/2024 |
Medicare PECOS PAC ID | 1153753371 |
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Medicare Enrollment ID | O20191108002020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740821289 | NPI | - | NPPES |
9000178623 | Medicaid | CO | |
TDPO.0000008 | Other | CO | COLORADO STATE BOARD OF PHARMACY |
The Well Aesthetics And Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Old Stage Rd Unit A, Salida, CO 81201 Phone: 719-626-4389 | |
Salida Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-530-2213 | |
Solvista Health Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7166 Cty Rd 154, Salida, CO 81201 Phone: 719-276-5488 | |
327 Medical Prof Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275 | |