Organization
HEALTHY DRUGSTORE, INC
Active
Other names
Rivergate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE J NOCITA (PRESIDENT)
(970) 375-7711
Entity
Organization
Contact information
Practice address
575 RIVERGATE LANE, SUITE 111, DURANGO, CO 81301-7487
(970) 375-7711
(970) 375-7722
Mailing address
PO BOX 4029, DURANGO, CO 81302-4029
(970) 375-7711
(970) 375-7722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
592
CO
3336C0003X
Community/Retail Pharmacy
Primary
592
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619342
NCPDP
CO
05
—
26784068
—
CO
Enumeration date
12/27/2006
Last updated
03/07/2023
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