JERRY P ARCHULETA SANLUIS PHARMACY LLC NPI 1437223955

NPI Information

JERRY P ARCHULETA SANLUIS PHARMACY LLC is a pharmacy in Alamosa, CO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. JERRY P ARCHULETA SANLUIS PHARMACY LLC NPI is 1437223955. The provider is registered as an organization entity type.
The provider Is Doing Business As San Luis Valley Pharmacy Llc.

The provider's business location address is:

2431 MAIN ST
STE 5
ALAMOSA, CO
ZIP 81101-273
Phone: (719) 587-3039
Fax: (719) 587-2164

The provider's authorized official is Jerry Archuleka .
The authorized official title is Owner and has the following contact phone number (719) 587-3039.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 2/6/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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