Healthy Drugstore, Inc.
LBN: Jackisch Drug, Inc.
Healthy Drugstore, Inc. is an health care organization with primary practice located at 426 Pagosa St. , Pagosa Springs CO 81147-0000. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Jackisch Drug, Inc. can be contacted via phone (970) 264-4166, or through Nocita, Debbie J via phone (970) 264-4166.
Contact Information
Primary practice address
426 Pagosa St.
Pagosa Springs CO 81147-0000
Phone: (970) 264-4166
Fax: (970) 264-3289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 10000001 | Colorado |
Profile Details
| NPI number | 1871658922 |
|---|---|
| LBN Legal business name | Jackisch Drug, Inc. |
| DBA Doing business as | Healthy Drugstore, Inc. |
| Authorized official | Nocita, Debbie J |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871658922 | NPPES |
| Colorado | MEDICAID | 03433000 | |
| Colorado | Other | 0605470 |
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