NPI | 1134618879 |
---|---|
Doing Business As | CHINOOK LTC |
Entity Type | Organization |
Authorized Contact | TYSON HODGE President 720-458-4887 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 1680000058) |
Additional Taxonomies | 333600000X Pharmacy |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2018-05-08 |
Last Update Date | 2018-05-08 |