Provider Demographics
NPI:1770886830
Name:AMERIDRUG INC.
Entity type:Organization
Organization Name:AMERIDRUG INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BLANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-635-1805
Mailing Address - Street 1:604 8TH ST SE
Mailing Address - Street 2:UNIT F
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-6464
Mailing Address - Country:US
Mailing Address - Phone:970-635-1805
Mailing Address - Fax:970-635-0032
Practice Address - Street 1:604 8TH ST SE
Practice Address - Street 2:UNIT F
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6464
Practice Address - Country:US
Practice Address - Phone:970-635-1805
Practice Address - Fax:970-635-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory