| NPI | 1568498426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRICK L SHIVELY Owner/Manager 303-664-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 613) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |