| NPI | 1164883955 |
|---|---|
| Doing Business As | FEDERICO F. PENA FAMILY HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PEGGY J BURNETTE Chief Financial Officer 303-602-4964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-05-17 |