Provider Demographics
NPI:1447329099
Name:CARING HANDS PHARMACY INC
Entity type:Organization
Organization Name:CARING HANDS PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GODFREY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:303-857-6266
Mailing Address - Street 1:105 DALES PLACE
Mailing Address - Street 2:
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621
Mailing Address - Country:US
Mailing Address - Phone:303-857-6266
Mailing Address - Fax:303-857-2403
Practice Address - Street 1:105 DALES PLACE
Practice Address - Street 2:
Practice Address - City:FORT LUPTON
Practice Address - State:CO
Practice Address - Zip Code:80621
Practice Address - Country:US
Practice Address - Phone:303-857-6266
Practice Address - Fax:303-857-2403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4500000033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2001570OtherPK
CO94855218Medicaid
6299570001Medicare NSC