| NPI | 1578050423 |
|---|---|
| Doing Business As | APOTHECA AT RIDGWAY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE COMMON PIC, Managing Member 970-728-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO OO.0000611) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-05-22 |