| NPI | 1508751066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PAUL GIERWATOSKI President 970-640-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |