| NPI | 1912418088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ISRAEL CEO 303-733-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CO DR.0038518) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2022-10-20 |