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Organization
LA CLINICA TEPEYAC, INC
Active
Organization
LA CLINICA TEPEYAC, INC
Active
Other names
Tepeyac Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLA REGINA DONOHOO (REVENUE CYCLE MANAGER)
(720) 274-2923
Entity
Organization
Contact information
Practice address
2101 E 48TH AVE, DENVER, CO 80216-2253
(303) 458-5302
Mailing address
4725 HIGH ST, DENVER, CO 80216-2220
(303) 458-5302
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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