Pagosa Specialty Pharmacy

LBN: Petra Pharmacy Services, Inc.
Pagosa Specialty Pharmacy is an health care organization with primary practice located at 426 Pagosa Street Pob 120, Pagosa Springs CO 81147. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Petra Pharmacy Services, Inc. can be contacted via phone (970) 264-4166, or through Kutzko, John D. via phone (941) 321-8067.

Contact Information

Primary practice address
426 Pagosa Street Pob 120 Pagosa Springs CO 81147
Phone: (970) 264-4166
Fax: (970) 264-3289
Website:
Map and Directions
Authorized official contact:
Name: Kutzko, John D. PHARM D.
Phone: (941) 321-8067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1000000001 Colorado
Suppliers / Compounding Pharmacy 3336C0004X 1000000001 Colorado
Suppliers / Specialty Pharmacy 3336S0011X 1000000001 Colorado

Profile Details

NPI number 1396144200
LBN Legal business name Petra Pharmacy Services, Inc.
DBA Doing business as Pagosa Specialty Pharmacy
Authorized official Kutzko, John D. PHARM D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2014
Last updated Aug 15th, 2014 - about 10 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.

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