NPI | 1013373679 |
---|---|
Doing Business As | BLUE SPRUCE PHARMACY AT INDEPENDENCE |
Entity Type | Organization |
Authorized Contact | JACOB HANSMEIER Director Of Pharmacy 303-432-5725 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: CO 1680000103) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2016-01-12 |
Last Update Date | 2021-08-18 |