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VAIL CLINIC INC. NPI 1225017643


NPI Information

NPI: 1225017643
Provider Name: VAIL CLINIC, INC.

Doing Business As: VAIL HEALTH PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632
Phone: (970) 569-7676
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VAIL CLINIC, INC. is a clinic pharmacy pharmacy in Edwards, CO. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. VAIL CLINIC, INC. NPI is 1225017643. The provider is registered as an organization entity type.
The provider Is Doing Business As Vail Health Pharmacy.

The provider's business location address is:

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632-426
Phone: (970) 569-7676
Fax: (970) 569-7677

The provider's authorized official is John D Higgins .
The authorized official title is Svp Finance And Cfo and has the following contact phone number (970) 479-7272.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 10/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyPDO.1470000002COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12003237OTHERPK
203003720MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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