<Unavail>
LBN: Selah Mountain Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 426 Pagosa Street , Pagosa Springs CO 81147. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Selah Mountain Pharmacy Llc can be contacted via phone (970) 264-0126, or through Kutzko, John via phone (941) 321-8067.
Contact Information
Primary practice address
426 Pagosa Street
Pagosa Springs CO 81147
Phone: (970) 264-0126
Fax: (970) 507-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1497211379 |
|---|---|
| LBN Legal business name | Selah Mountain Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Kutzko, John PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2019 |
| Last updated | Feb 5th, 2021 - about 5 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 | 1497211379 | NPPES |
| Colorado | MEDICAID | 1497211379 |
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