| NPI | 1609317700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MEJIA Owner 720-237-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |