| NPI | 1508298175 |
|---|---|
| Doing Business As | CAS |
| Entity Type | Organization |
| Authorized Contact | VONDA ROSETTA WALL Administrator 719-416-6925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |