NPI | 1972871333 |
---|---|
Doing Business As | HAVANA PHARMACY AND MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | GEORGE SACKEY Pharmacist/Owner 303-668-0032 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 836) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2011-12-13 |
Last Update Date | 2014-03-20 |