OrganizationActive
Pharmaca Integrative Pharmacy
NPI 1235292145 · Exclusive Provider Organization · Boulder, CO
Provider details
- NPI number
- 1235292145
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Greg Legore, Director of Pharmacy Operations(805) 217-5986
- License
- PDO670 (CO)
Specialties & taxonomies
Managed Care Organizations
Practice location
645 South Boulder
Boulder, CO 80305
Phone: (303) 867-3400
Approximate (ZIP-level) locationGet directions
Mailing address
4940 Pearl East Circle
Boulder, CO 80302-5433
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2017-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.