| NPI | 1790157865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELYNDA K SPOONER Manager 970-351-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 0608818) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |