| NPI | 1073515615 |
|---|---|
| Doing Business As | COLLEGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JERRY SIMON GILLICK President 719-262-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO 240000038) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2009-10-06 |