| NPI | 1922353499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LYNN BEHRENDS Owner 970-526-9418 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CO PDO-807) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |