| NPI | 1518704816 |
|---|---|
| Doing Business As | MARILLAC HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LATA RAMACHANDRAN CEO 970-200-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |