Petra Pharmacy Services, Inc.
NPI #1396144200 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1396144200
- Entity Type
- Organization
- Organization Name
- Petra Pharmacy Services, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 15, 2014
- Last Updated
- Aug 15, 2014
Practice Location
- Address
- 426 PAGOSA STREET
- Address 2
- POB 120
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147
- Phone
- (970) 264-4166
Authorized Official
- Name
- MR. JOHN D. KUTZKO, PHARM D.
- Title
- PRESIDENT
- Phone
- (941) 321-8067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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