| NPI | 1376382770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MICHAEL VP, Chief Compliance Officer 720-777-6537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |