Provider Demographics
NPI:1669572491
Name:JOSTA INC
Entity type:Organization
Organization Name:JOSTA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:303-468-0303
Mailing Address - Street 1:10103 RIDGEGATE PKWY
Mailing Address - Street 2:#117B
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5520
Mailing Address - Country:US
Mailing Address - Phone:303-468-0303
Mailing Address - Fax:303-468-0306
Practice Address - Street 1:10103 RIDGEGATE PKWY
Practice Address - Street 2:#117B
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5520
Practice Address - Country:US
Practice Address - Phone:303-468-0303
Practice Address - Fax:303-468-0306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO122183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0618516OtherNCPDP