| NPI | 1699711101 |
|---|---|
| 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 |