Healthcare Provider Details

I. General information

NPI: 1477639037
Provider Name (Legal Business Name): PHARMACY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 MAINE ST.
EADS CO
81036-0010
US

IV. Provider business mailing address

1201 MAINE ST. PO BOX 10
EADS CO
81036-0010
US

V. Phone/Fax

Practice location:
  • Phone: 719-438-5832
  • Fax: 719-438-5592
Mailing address:
  • Phone: 719-438-5832
  • Fax: 719-438-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number330000001
License Number StateCO

VIII. Authorized Official

Name: DR. CHRIS JANES
Title or Position: OWNER/PHARMACIST
Credential: PHARMD
Phone: 719-438-5832