| NPI | 1932437746 |
|---|---|
| Doing Business As | PEAK VISTA PHARMACY AT MYRON |
| Entity Type | Organization |
| Authorized Contact | TRACY NARVET CFO 719-344-6188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO 789) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2018-08-17 |