| NPI | 1912324666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WILSON Pharmacy Manager 303-318-1313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: CO 190) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CO 190) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 190) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-12-16 |