Organization
JAY'S ROADHOUSE AND PHARMACY LLC
Active
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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