| NPI | 1184908741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAY LOPATIN Owner 303-755-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 042917020001) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 830) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2014-04-02 |