Healthcare Provider Details

I. General information

NPI: 1831013341
Provider Name (Legal Business Name): DOWNTOWN DRUG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 GRAND AVE
GLENWOOD SPRINGS CO
81601-3403
US

IV. Provider business mailing address

PO BOX 879
GLENWOOD SPRINGS CO
81602-0879
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-7987
  • Fax: 970-947-9922
Mailing address:
  • Phone: 970-945-7987
  • Fax: 970-947-9922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON DAVID GOTZINGER
Title or Position: OWNER
Credential: PHARMD
Phone: 970-945-7987