Organization Name: | PLAN DE SALUD DEL VALLE INC |
NPI Number: | 1508186891 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN SANTISTEVAN (DIRECTOR OF ACCOUNTING AND FINANCE) |
Mailing Address: | 1115 2nd St Fort Lupton |
State: | CO US |
Postal Code: | 806211745 |
Phone Number: | 3038571502 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2010 |
NPI Last Update Date: | 06/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |