| NPI | 1154146611 |
|---|---|
| Doing Business As | SALIDA PHARMACY AND FOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | LUCAS SMITH Owner 719-395-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-12-05 |