| NPI | 1124578448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA TERRES Acupuncturist 303-956-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CO 173) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |