| NPI | 1861574642 |
|---|---|
| Doing Business As | BLUE SPRUCE PHARMACY |
| Doing Business As | JEFFERSON CENTER FOR MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANDREW VANDER KOOI Pharmacy Director 303-432-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 622) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-10-20 |