| NPI | 1336823566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ESSENGUE BELIBI Administrator 303-755-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |