| 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 |