| NPI | 1588707251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN URRUTIA Pharmacist Manager 303-274-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO 730000030) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-06-17 |