Local City Search for Medical Equipment Suppliers JERRY P ARCHULETA SANLUIS PHARMACY LLC
Medical Equipment Supplier Yellow Pages
Alamosa, Colorado
Provider NPI: 1437223955
Organization Information:Organization Name: JERRY P ARCHULETA SANLUIS PHARMACY LLC
Practice Location:
2431 MAIN ST STE 5 ALAMOSA, CO 81101 US
Tel: 719-587-3039 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2431 MAIN ST STE 5 ALAMOSA, CO 81101 US
Tel: 719-587-3039 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
| N | 3336C0003X | Suppliers Pharmacy | ||
| N | 3336M0002X | Suppliers Pharmacy | ||
| Y | 333600000X | Suppliers Pharmacy | CO | PDO20000022 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0618326 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
