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Petra Pharmacy Services, Inc.

Community/Retail Pharmacy in Pagosa Springs, CO · enumerated 2014 · authorized official John Kutzko, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396144200

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Registry record

Entity type Organization (Type 2)
Legal business name Petra Pharmacy Services, Inc.
Other name <Unavail>
Practice address 426 Pagosa Street, Pob 120, Pagosa Springs, CO, 81147
Phone (970) 264-4166
Fax (970) 264-3289
Enumeration date Aug 15, 2014
Last updated in NPPES Aug 15, 2014

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 1000000001 (CO) Primary
3336C0004X Compounding Pharmacy Suppliers · License 1000000001 (CO) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 1000000001 (CO) Secondary

Authorized official

Name John Kutzko
Title President
Phone (941) 321-8067

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Petra Pharmacy Services, Inc. located?
The practice location on file with NPPES is in Pagosa Springs, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-08-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-15.