Provider Demographics
NPI:1518439280
Name:EATING RECOVERY CENTER PHARMACY
Entity Type:Organization
Organization Name:EATING RECOVERY CENTER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF BUSINESS SERVICES OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-825-8572
Mailing Address - Street 1:7351 E LOWRY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6083
Mailing Address - Country:US
Mailing Address - Phone:303-825-8584
Mailing Address - Fax:
Practice Address - Street 1:8199 EAST 1ST AVE
Practice Address - Street 2:STE 110
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-8023
Practice Address - Country:US
Practice Address - Phone:303-825-8584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EATING RECOVERY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy