| NPI | 1124377346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG PEDERSON President 303-691-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CO 370000012) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |