| NPI | 1356450134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH COOK OWEN Owner/Manager 303-795-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 370000003) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |