Organization
PRESCRIPTION SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T SAJBEL PHARMACIST (OWNER/PHARMACIST)
(719) 564-0220
Entity
Organization
Contact information
Practice address
1728 S PRAIRIE AVE, PUEBLO, CO 81005-2253
(719) 564-0220
(719) 564-0424
Mailing address
1728 S PRAIRIE AVE, PUEBLO, CO 81005-2253
(719) 564-0220
(719) 564-0424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
104-24
CO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
104-24
CO
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
ALL PART D PROGRAMS
CO
Enumeration date
08/23/2018
Last updated
01/26/2026
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