Peoples Drug Store

NPI #1952431694 in Antonito, Colorado

Provider Information

NPI Number: 1952431694
Entity Type: Organization
Organization Name: Peoples Drug Store
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Mar 6, 2007
Last Updated: Nov 29, 2007

Practice Location

Address: 327 MAIN ST
City: Antonito
State: Colorado
ZIP Code: 81120
Phone: (719) 376-5450

Authorized Official

Name: DENNIS MORTENSEN
Title: OWNER
Phone: (719) 376-5450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X	Primary

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