| NPI | 1538531546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH LEVULIS Pharmacist 719-589-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 20933) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |