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Organization

PRESCRIPTION SHOP LLC

Active
Parent organization
PRESCRIPTION SHOP LLC
Other names
Prescription Shop LLC, JIM SAJBEL'S PRESCRIPTION SHOP, Prescription Shop
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESCRIPTION SHOP LLC
Authorized official
JAMES T SAJBEL RPH (SENIOR MEMBER)
(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
333600000X
Pharmacy
Primary
10434
CO
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03665502
CO
01
0605735
NCPDP
Enumeration date
09/27/2006
Last updated
03/19/2026
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