Organization
PHARMACY SERVICES INC
Active
Organization
PHARMACY SERVICES INC
Active
Other names
Harris Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KY DAVIS PHARMD (PHARMACIST)
(719) 254-3337
Entity
Organization
Contact information
Practice address
309 N MAIN ST, ROCKY FORD, CO 81067-1253
(719) 254-3337
(719) 254-7311
Mailing address
PO BOX 546, ROCKY FORD, CO 81067-0546
(719) 254-3337
(719) 254-3339
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1070000002
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03445012
—
CO
01
—
2001192
PK
—
Enumeration date
03/08/2007
Last updated
09/06/2024
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