Organization · Type 2 NPI

Selah Mountain Pharmacy LLC

Community/Retail Pharmacy · Pagosa Springs, CO

NPI number 1497211379 Active

Practice location

426 Pagosa Street
Pagosa Springs, CO 81147

Call (970) 264-0126 Map

Fax (970) 507-6111

Mailing address

PO Box 5949
Pagosa Springs, CO 81147-5949

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

Other community/retail pharmacy providers in Pagosa Springs

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NPI record

NPI: 1497211379
Entity type: Organization (Type 2)
Issued: Feb 15, 2019
Last updated: Feb 5, 2021
Status: Active

Other names

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Selah Mountain Pharmacy · doing business as
Selah Mountain Pharmacy · doing business as

Authorized official

John Kutzko, PHARM D
Managing Member
(941) 321-8067

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497211379

Selah Mountain Pharmacy LLC's National Provider Identifier is 1497211379, issued on Feb 15, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pagosa Springs, CO. The record was last updated on Feb 5, 2021.