NPI | 1306249024 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON WAYNE FERLAS Pharmacy Manager 720-627-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.1680000062) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CO PDO.1680000062) |
Enumeration Date | 2014-10-08 |
Last Update Date | 2016-03-24 |