Organization
LJCC SERVICES, LLC
Active
Organization
LJCC SERVICES, LLC
Active
Other names
Salida Pharmacy and Fountain
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS SMITH PHARMD (OWNER)
(719) 395-2481
Entity
Organization
Contact information
Practice address
137 F ST, SALIDA, CO 81201-2101
(719) 530-4790
(719) 530-4791
Mailing address
137 F ST, SALIDA, CO 81201-2101
(719) 530-4790
(719) 530-4791
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000178623
—
CO
Enumeration date
11/20/2024
Last updated
10/16/2025
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