Provider Demographics
NPI:1043225402
Name:WHOLE HEALTH PHARMACY INC
Entity Type:Organization
Organization Name:WHOLE HEALTH PHARMACY INC
Other - Org Name:CLEARSPRING PHARMACY LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-225-4446
Mailing Address - Street 1:8031 SOUTHPARK CIR STE C
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5724
Mailing Address - Country:US
Mailing Address - Phone:303-996-4401
Mailing Address - Fax:303-952-8060
Practice Address - Street 1:201 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4657
Practice Address - Country:US
Practice Address - Phone:303-333-2010
Practice Address - Fax:303-333-2208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4323336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0617235OtherNABP
CO62801082Medicaid
CO62801082Medicaid