Provider Demographics
NPI:1972659027
Name:PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:PHARMACY SERVICES INC
Other - Org Name:VALUMED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JANES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:719-456-1691
Mailing Address - Street 1:159 BENT AVE
Mailing Address - Street 2:
Mailing Address - City:LAS ANIMAS
Mailing Address - State:CO
Mailing Address - Zip Code:81054-1131
Mailing Address - Country:US
Mailing Address - Phone:719-456-1691
Mailing Address - Fax:
Practice Address - Street 1:159 BENT AVE
Practice Address - Street 2:
Practice Address - City:LAS ANIMAS
Practice Address - State:CO
Practice Address - Zip Code:81054-1131
Practice Address - Country:US
Practice Address - Phone:719-456-1691
Practice Address - Fax:719-456-1425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMACY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-25
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7600000023336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0611815OtherNABP
CO03076205Medicaid