Healthcare Provider Details

I. General information

NPI: 1366595993
Provider Name (Legal Business Name): ABTS PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 CEDAR ST
JULESBURG CO
80737-1519
US

IV. Provider business mailing address

121 CEDAR ST
JULESBURG CO
80737-1519
US

V. Phone/Fax

Practice location:
  • Phone: 970-474-3672
  • Fax:
Mailing address:
  • Phone: 970-474-3672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MURL ABTS
Title or Position: PRESIDENT-OWNER
Credential: RPH
Phone: 970-474-3672