| NPI | 1396182416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN REIBER Pharmacist 719-590-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO 12949) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |