Provider Demographics
NPI:1659918894
Name:BEATTIES COMMUNITY PHARMACY LLC
Entity Type:Organization
Organization Name:BEATTIES COMMUNITY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEATTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-890-5095
Mailing Address - Street 1:3140 VILLAGE VISTA DR UNIT 100
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-2529
Mailing Address - Country:US
Mailing Address - Phone:720-890-5095
Mailing Address - Fax:720-890-4343
Practice Address - Street 1:3140 VILLAGE VISTA DR UNIT 100
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-2529
Practice Address - Country:US
Practice Address - Phone:720-890-5095
Practice Address - Fax:720-890-4343
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEATTIE'S COMMUNITY PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-06
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy