NPI | 1124262563 |
---|---|
Doing Business As | WESTERN COLORADO SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | ERIC MICHAEL FRAZER Owner/PIC 970-243-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: CO 763) |
Enumeration Date | 2009-04-29 |
Last Update Date | 2016-03-10 |