NPI | 1316304470 |
---|---|
Doing Business As | HOLLY HIGH PLAINS DISPENSARY |
Entity Type | Organization |
Authorized Contact | ROBERT J BROOKE CEO 719-336-0261 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2016-01-20 |
Last Update Date | 2016-01-20 |