Organization
FRDA APOTHECARY
Active
Organization
FRDA APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BLUM (PRACTICE MANAGER)
(970) 673-1155
Entity
Organization
Contact information
Practice address
6801 W 20TH ST UNIT 208, GREELEY, CO 80634-9640
(970) 301-0130
Mailing address
PO BOX 69, TIMNATH, CO 80547-0069
(970) 301-0130
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
06/30/2020
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