| NPI | 1194049494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI JEAN KEARNEY Owner/Rph/Pharmacist In Charge 970-375-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO 592) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2024-04-16 |