| NPI | 1700834272 |
|---|---|
| Doing Business As | PEAK VISTA PHARMACY AT UNION |
| Entity Type | Organization |
| Authorized Contact | BRADACH FITZWATER CFO 719-344-6188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-12-12 |