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Contact Information

PAGOSA HEALTH
62 DOUGHTY RD STE 4
LAWRENCEBURG, IN47025-2951
 Phone: 888-821-9982
 Fax: 800-218-8256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PAGOSA HEALTH

NPI Number 1043652654
LBN Legal business name PAGOSA HEALTH
Authorized official RONALD KOEHLER - (DIRECTOR OF PHARMACY OPERATION)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2013
Last updated 07/24/2013 - About 13 years ago
Identifiers
IN License # 60006342A
Other 2141276 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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