# SOUTHWEST HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWEST HEALTH SYSTEM, INC.
- **Other names:** Southwest Health System Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386917862
- **Legal business name:** SOUTHWEST HEALTH SYSTEM, INC.
- **Authorized official:** JOSEPH THEINE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (970) 564-2146

## Contact information

- **Practice address:** 1311 N MILDRED RD, CORTEZ, CO 81321
- **Practice address phone:** (970) 564-2190
- **Practice address fax:** (970) 564-2197
- **Mailing address:** 1311 N MILDRED RD, CORTEZ, CO 81321-2231
- **Mailing address phone:** (970) 564-2190
- **Mailing address fax:** (970) 564-2197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 260000020 | CO | Yes |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 05/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 260000020 | STATE BOARD OF PHARMACY LICENSE | CO |