| NPI | 1760050231 |
|---|---|
| Doing Business As | PROSOURCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JESSICA EMILY HOPPER Managing Member 720-370-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2025-08-22 |