| NPI | 1790730737 |
|---|---|
| Doing Business As | PUEBLO COMMUNITY HEALTH CENTER PARK HILL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN MCCARTHY COO 719-543-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 650) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-01-14 |