| NPI | 1497214332 |
|---|---|
| Doing Business As | WHEAT RIDGE PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WENDY DILORENZO Administrator 303-421-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |