| NPI | 1730813684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH CERNAC R Ph/ President 719-542-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |