| NPI | 1013373679 |
|---|---|
| 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 |