NPI | 1205832789 |
---|---|
Doing Business As | CENTRE PHARMACY INC |
Entity Type | Organization |
Authorized Contact | ERIC ELLIS Phrm Mang 970-221-0190 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CO 440000002) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-06-21 |
Last Update Date | 2017-01-19 |