| NPI | 1043536014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE RASMUSSEN Pharmacy Manager 970-285-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 781) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |