Organization · NPI-2

1200 Madison Sreet INC

Pharmacy, Community/Retail Pharmacy · Denver, CO

NPI number1649215864
StatusActive
Last updated in NPPESFeb 7, 2011

Details

NPI
1649215864
Entity type
Organization (NPI-2)
Legal business name
1200 Madison Sreet INC
Organization subpart
No
Enumeration date
Jun 19, 2006
Last updated
Feb 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPDO30COYes
3336L0003X Pharmacy, Long Term Care Pharmacy––

Other names

  • Capitol Heights Pharmacy (Doing Business As)

Practice location

1200 Madison St
Denver, CO 80206-3440

Phone 303-388-3679 · Fax 303-393-7604

Mailing address

1200 Madison St
Denver, CO 80206-3440

Phone 303-388-3679 · Fax 303-393-7604

Authorized official

Jit Dhaliwal
President
3033883679

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