Organization
JEWETT DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT JOHNSON RPH (MANAGER)
(719) 275-7466
Entity
Organization
Contact information
Practice address
121 N 16TH ST, CANON CITY, CO 81212-2401
(719) 275-7466
(719) 275-4299
Mailing address
121 N 16TH ST, CANON CITY, CO 81212-2401
(719) 275-7466
(719) 275-4299
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17-3
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03451044
—
CO
01
—
06-01268
NABP NUMBER
—
01
—
0601268
NCPDP NUMBER
—
Enumeration date
07/20/2006
Last updated
08/22/2020
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