| NPI | 1437678315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RONALD LORENZO Pharmacist / Owner 970-522-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 3336C0003X) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 3336L0003X) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO 14227) | |
| 333600000X Pharmacy (Licence: CO 333600000X) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CO 3336C0004X) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |