| NPI | 1437223955 |
|---|---|
| Doing Business As | SAN LUIS VALLEY PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | JERRY ARCHULEKA Owner 719-587-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO PDO20000022) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-02-06 |