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Organization

JAY'S ROADHOUSE AND PHARMACY LLC

Active
Other names
Lyons Corner Drug
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW TODD JOHNSON PHARM.D. (PHARMACIST/OWNER)
(970) 291-8813
Entity
Organization

Contact information

Practice address
840 LINCOLN AVE, STEAMBOAT SPRINGS, CO 80487-5005
(970) 879-1114
(970) 879-5643
Mailing address
42225 DEER RD, STEAMBOAT SPRINGS, CO 80487-9159
(970) 871-4596

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Enumeration date
10/21/2019
Last updated
10/21/2020
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