| NPI | 1134820640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GEBHARDS Pharmacist In Charge 719-761-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |