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Organization
PAGOSA HEALTH
Active
Organization
PAGOSA HEALTH
Active
Other names
Pagosa Health
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KOEHLER (DIRECTOR OF PHARMACY OPERATION)
(859) 638-2795
Entity
Organization
Contact information
Practice address
62 DOUGHTY RD STE 4, LAWRENCEBURG, IN 47025-2951
(888) 821-9982
(800) 218-8256
Mailing address
62 DOUGHTY RD STE 4, LAWRENCEBURG, IN 47025-2951
(888) 821-9982
(800) 218-8256
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
60006342A
IN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141276
PK
—
Enumeration date
07/24/2013
Last updated
07/24/2013
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