| NPI | 1619019098 |
|---|---|
| Doing Business As | CENTENNIAL MEDICAL PLAZA |
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN COFFIELD Pharmacy Manager 303-699-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 370000005) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-01-27 |