| NPI | 1376671636 |
|---|---|
| Doing Business As | PIKES PEAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TREAT Pharmacy Manager 719-447-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 612) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-10-16 |