| NPI | 1396037867 |
|---|---|
| Doing Business As | RIO GRANDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANGELIA CAMPBELL Owner/PIC 719-657-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 280000001) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2017-01-18 |