| NPI | 1104093095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BUTLER Pharmacist 970-686-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 10581) |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |