| NPI | 1316052343 |
|---|---|
| Doing Business As | BUENA VISTA DRUG |
| Entity Type | Organization |
| Authorized Contact | LUCAS SMITH Owner/Pharmacist In Charge 719-395-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.0140000001) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 261QP2300X Clinic/Center, Primary Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-06-05 |