| NPI | 1487361168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE OTU ONWA President 720-939-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |