| NPI | 1104909639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C. CAIN COO 303-645-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO 370000059) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CO 370000059) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-02-13 |