| 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 |