| NPI | 1740821289 |
|---|---|
| Doing Business As | SALIDA PHARMACY & FOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | LUCAS SMITH Owner 719-460-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-08-06 |