| NPI | 1871136986 |
|---|---|
| Doing Business As | LYONS CORNER DRUG |
| Entity Type | Organization |
| Authorized Contact | MATTHEW TODD JOHNSON Pharmacist/Owner 970-291-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2020-10-21 |