| NPI | 1013152198 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | KEN WATERHOUSE CFO 719-532-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO 754) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2022-02-24 |