| NPI | 1518060672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER POMEROY Dir Of Rehab Svcs Unc St Hlth 970-392-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CO 235) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |