| NPI | 1801049531 |
|---|---|
| Doing Business As | AVISTA FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TAMMY M SELBY President 303-926-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 651) |
| Enumeration Date | 2008-10-26 |
| Last Update Date | 2008-10-26 |