| NPI | 1285032771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MALEK President Of Pharmacy Operations 719-375-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO 1680000077) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |