| NPI | 1568008241 |
|---|---|
| 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 |