| NPI | 1437903358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARA TIPPIT Pharmacy Administrative Specialist 303-974-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |