Provider Demographics
NPI:1437484284
Name:MEEKER DRUGS INC
Entity Type:Organization
Organization Name:MEEKER DRUGS INC
Other - Org Name:MEEKER DRUGS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-878-9988
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:MEEKER
Mailing Address - State:CO
Mailing Address - Zip Code:81641-0570
Mailing Address - Country:US
Mailing Address - Phone:970-878-9988
Mailing Address - Fax:970-878-9921
Practice Address - Street 1:530 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MEEKER
Practice Address - State:CO
Practice Address - Zip Code:81641
Practice Address - Country:US
Practice Address - Phone:970-878-9988
Practice Address - Fax:970-878-9921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO87473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0621501OtherNCPDP PROVIDER IDENTIFICATION NUMBER