NPI | 1699711101 |
---|---|
Doing Business As | CENTER FOR SENIOR INDEPENDENCE PHCY |
Entity Type | Organization |
Authorized Contact | KIM RICHARDS Pharmacist Clinical COO Rd 303-653-2323 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MI 5301007269) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-06-22 |
Last Update Date | 2010-05-04 |