Provider Demographics
NPI:1295002368
Name:EXEMPLA HEALTHCARE
Entity Type:Organization
Organization Name:EXEMPLA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-403-3536
Mailing Address - Street 1:3550 LUTHERAN PKWY STE G-25
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6017
Mailing Address - Country:US
Mailing Address - Phone:303-403-3536
Mailing Address - Fax:303-403-6390
Practice Address - Street 1:3550 LUTHERAN PKWY STE G-25
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6017
Practice Address - Country:US
Practice Address - Phone:303-403-3536
Practice Address - Fax:303-403-6390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8331835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835X0200XPharmacy Service ProvidersPharmacistOncologyGroup - Single Specialty