| NPI | 1740484989 |
|---|---|
| Doing Business As | MANIILAQ HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL HANSON Administrator 970-442-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AK 234051) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |