Organization · Type 2 NPI

Purgatory Pharmaceutical Services LLC

Community/Retail Pharmacy · Monte Vista, CO

NPI number 1801582341 Active

Practice location

222 Solar Ave
Monte Vista, CO 81144-1066

Call (719) 852-9894 Map

Fax (719) 852-9897

Mailing address

PO Box 546
Crestone, CO 81131-0546

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	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 …

6 other providers at this address

Other community/retail pharmacy providers in Monte Vista

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NPI record

NPI: 1801582341
Entity type: Organization (Type 2)
Issued: Apr 17, 2023
Last updated: Oct 17, 2023
Status: Active

Other names

<unavail>
Jack's Market Pharmacy · doing business as
Jack's Market Pharmacy · doing business as

Authorized official

Ian McMullen, PharmD
Managing Member, Pharmacist
(719) 852-9894

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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 1801582341

Purgatory Pharmaceutical Services LLC's National Provider Identifier is 1801582341, issued on Apr 17, 2023. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Monte Vista, CO. The record was last updated on Oct 17, 2023.