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PETRA PHARMACY SERVICES INC. NPI 1396144200


NPI Information

NPI: 1396144200
Provider Name: PETRA PHARMACY SERVICES, INC.

Doing Business As: PAGOSA SPECIALTY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
426 PAGOSA STREET
POB 120
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 264-4166
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PETRA PHARMACY SERVICES, INC. is a community/retail pharmacy pharmacy in Pagosa Springs, CO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PETRA PHARMACY SERVICES, INC. NPI is 1396144200. The provider is registered as an organization entity type.
The provider Is Doing Business As Pagosa Specialty Pharmacy.

The provider's business location address is:

426 PAGOSA STREET
POB 120
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 264-4166
Fax: (970) 264-3289

The provider's authorized official is John D. Kutzko .
The authorized official title is President and has the following contact phone number (941) 321-8067.

The enumeration date for this NPI number is 8/15/2014 and was last updated on 8/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336S0011XPharmacySpecialty Pharmacy1000000001COLORADONo
23336C0004XPharmacyCompounding Pharmacy1000000001COLORADONo
33336C0003XPharmacyCommunity/Retail Pharmacy1000000001COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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