Organization
HEALTHY DRUGSTORE, INC
Active
Other names
Three Springs Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE NOCITA (PRESIDENT)
(626) 355-6474
Entity
Organization
Contact information
Practice address
1 MERCADO ST, UNIT 204, DURANGO, CO 81301-7310
(626) 355-6474
(626) 355-6448
Mailing address
PO BOX 4029, DURANGO, CO 81302-4029
(626) 355-6474
(626) 355-6448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
700
CO
3336C0003X
Community/Retail Pharmacy
Primary
700
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42839556
—
CO
Enumeration date
08/24/2007
Last updated
04/29/2009
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