NPI | 1568008241 |
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Doing Business As | SOUTH PARK HEALTH CARE |
Entity Type | Organization |
Authorized Contact | WILLIAM M SMITHAM VP 303-584-8119 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2019-11-18 |
Last Update Date | 2020-01-23 |