| NPI | 1902945587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC YOXEY Manager 719-545-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 1040000005) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-08-11 |