Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petra Pharmacy Services, Inc

Organization Community/Retail Pharmacy · NPI 1396144200

Petra Pharmacy Services, Inc is a Community/Retail Pharmacy in Pagosa Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2014.

Licensed in
CO
In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

426 Pagosa Street Pob 120
Pagosa Springs, CO 81147
Phone: (970) 264-4166
Fax: (970) 264-3289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 1000000001 (CO)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 1000000001 (CO)
Specialty Pharmacy Taxonomy 3336S0011X · Licence 1000000001 (CO)

Record details

NPI number1396144200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kutzko — President · (941) 321-8067
Other names Pagosa Specialty Pharmacy
NPI enumeratedAugust 15, 2014
Last updated in NPPESAugust 15, 2014
Mailing address426 Pagosa Street, Pagosa Springs, CO 81147

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