| NPI | 1912240540 |
|---|---|
| Doing Business As | PEAK VISTA PHARMACY AT ACADEMY |
| Entity Type | Organization |
| Authorized Contact | PAMELA MCMANUS President & CEO 791-344-6453 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CO PDO.1680000025) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2017-04-21 |