| NPI | 1255403036 |
|---|---|
| Doing Business As | ITC COMPOUNDING AND NATURAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ALLAN JOLLY President Phcst 303-663-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: CO 370000018) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054.016310) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-07-19 |