| NPI | 1619072972 |
|---|---|
| Doing Business As | BERTHOUD DRUG |
| Entity Type | Organization |
| Authorized Contact | JOSHUA ELIJAH JONES Owner 970-532-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 0080000001) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-08-05 |