Organization
JACKISCH DRUG, INC.
Active
Organization
JACKISCH DRUG, INC.
Active
Parent organization
HEALTHY DRUGSTORE INC
Other names
Healthy Drugstore, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHY DRUGSTORE INC
Authorized official
MS. DEBBIE J NOCITA (PRESIDENT)
(970) 264-4166
Entity
Organization
Contact information
Practice address
426 PAGOSA ST., PAGOSA SPRINGS, CO 81147-0000
(970) 264-4166
(970) 264-3289
Mailing address
PO BOX 120, PAGOSA SPRINGS, CO 81147-0120
(970) 264-4166
(970) 355-6448
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10000001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03433000
—
CO
01
—
0605470
NAPB,NCPDP
CO
Enumeration date
12/27/2006
Last updated
03/07/2023
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