Healthcare Provider Details

I. General information

NPI: 1578476370
Provider Name (Legal Business Name): PHARMCARE APOTHECARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 EATON DR STE 5
PAGOSA SPRINGS CO
81147-8228
US

IV. Provider business mailing address

46 EATON DR STE 5
PAGOSA SPRINGS CO
81147-8228
US

V. Phone/Fax

Practice location:
  • Phone: 970-507-4777
  • Fax: 970-507-6111
Mailing address:
  • Phone: 970-507-4777
  • Fax: 970-507-6111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LINDA KUTZKO
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 970-507-4777