| NPI | 1548437114 |
|---|---|
| Doing Business As | ITC COMPOUNDING AND NATURAL WELLNESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALLAN JOLLY Co President 303-663-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CO 370000018) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-03-28 |