| NPI | 1265502124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE CHON Pharmacy Manager 303-696-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 551) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-09-13 |