Selah Mountain Pharmacy LLC
NPI #1497211379 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1497211379
- Entity Type
- Organization
- Organization Name
- Selah Mountain Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 15, 2019
- Last Updated
- Feb 5, 2021
Practice Location
- Address
- 426 PAGOSA STREET
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147
- Phone
- (970) 264-0126
Authorized Official
- Name
- JOHN KUTZKO, PHARM D
- Title
- MANAGING MEMBER
- Phone
- (941) 321-8067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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