NPI 1235292145

Pharmaca Integrative Pharmacy

Organisation Exclusive Provider Organization Boulder, CO

Practice location

Address: 645 South Boulder, Boulder, CO 80305
Phone: (303) 867-3400
Mailing address: 4940 Pearl East Circle Suite 301, Boulder, CO 80302-5433

Authorised official

Name: Greg Legore
Title: Director of Pharmacy Operations
Phone: (805) 217-5986

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence PDO670 (CO)

Other Exclusive Provider Organization providers in Colorado →

Registry record

NPI: 1235292145
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 21 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.