La Jara Pharmaceutical Center, Inc.

NPI #1346336997 in La Jara, Colorado

Provider Information

NPI Number
1346336997
Entity Type
Organization
Organization Name
La Jara Pharmaceutical Center, Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 4, 2006
Last Updated
Apr 17, 2017

Practice Location

Address
412 MAIN STREET
ZIP Code
81140
Phone
(719) 274-5109

Authorized Official

Name
MR. JOSEPH THOMAS VALDEZ, RPH
Title
PHARMACIST OWNER
Phone
(719) 274-5109

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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