| NPI | 1073630174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE VELASCO Health Center Director 970-563-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-08-04 |