| NPI | 1144410382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KRUTECK CFO 303-867-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 48639) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-01-24 |