| NPI | 1558162040 |
|---|---|
| Doing Business As | THCC MT. HEALTHY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOLENE K. JOSEPH CEO 970-298-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |