=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578476370
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHARMCARE APOTHECARY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2026
-----------------------------------------------------
Last Update Date | 09/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 46 EATON DR STE 5
-----------------------------------------------------
City | PAGOSA SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81147-8228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-507-4777
-----------------------------------------------------
Fax | 970-507-6111
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 46 EATON DR STE 5
-----------------------------------------------------
City | PAGOSA SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81147-8228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-507-4777
-----------------------------------------------------
Fax | 970-507-6111
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. LINDA KUTZKO
-----------------------------------------------------
Credential | PHARM D
-----------------------------------------------------
Telephone | 970-507-4777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0004X
-----------------------------------------------------
Taxonomy Name | Compounding Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------