Organization

Pagosa Health

May also be knows as Pagosa Health

Mail Order Pharmacy in Lawrenceburg, IN(View on Map)

Legal Business Name

Pagosa Health

Also Known As

Pagosa Health

NPI Number

1043652654

NPI Type

Organization

Enumeration Date

07/24/2013

Specialties

(Taxonomies)

Code

3336M0002X
333600000X
3336S0011X

Primary Taxonomy

Yes
No
No

Licenses

State

Indiana

License Number

60006342A

Contact
Information

Purpose

Mailing
Location

Address

62 DOUGHTY RD STE 4
62 DOUGHTY RD STE 4

City

Lawrenceburg
Lawrenceburg

State

IN
IN

Postal Code

47025-2951
47025-2951

Country

US
US

Telephone Number

(888) 821-9982
(888) 821-9982

Authorized Official

Name

Ronald Koehler

Title or Position

DIRECTOR OF PHARMACY OPERATION

Telephone Number

(859) 638-2795

Identifiers

Identifier

2141276

Identifier State

Unknown

Identifier Issuer

PK

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/24/2013

Provider Address