NPI | 1992749741 |
---|---|
Doing Business As | CENTURA HEALTH PHARMACY AT PENROSE HOSPITAL |
Entity Type | Organization |
Authorized Contact | MICHAEL FORCE Director 719-776-5156 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO240000047) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-15 |
Last Update Date | 2015-11-13 |