| NPI | 1295973493 |
|---|---|
| Doing Business As | ANTONITO PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | BRYAN SANDOVAL Managing Pharmacist Owner 719-587-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |