| NPI | 1558536938 |
|---|---|
| Doing Business As | CLINICA CAMPESINA LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | SIMON SMITH CEO 303-665-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CO 322) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-01-28 |