| NPI | 1700968641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R BONFIGLIO President 970-736-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 94-01) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 94-01) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-06-11 |