| NPI | 1114414604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UYEN LE Pharmacy Manager 720-627-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO 1680000167) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2022-03-23 |