| NPI | 1043652654 |
|---|---|
| Doing Business As | PAGOSA HEALTH |
| Entity Type | Organization |
| Authorized Contact | RONALD KOEHLER Director Of Pharmacy Operation 859-638-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: IN 60006342A) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |