| NPI | 1811248479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HARKER PIC 719-357-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AZ Y005509) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-12-21 |