NPI | 1770064297 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES T SAJBEL Owner/Pharmacist 719-564-0220 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 104-24) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 104-24) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2018-08-23 |