| NPI | 1770090482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA SILOLAHTI SVP Managed Care Contracting 720-282-2382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH31110) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-04-15 |