Organization
VISTA CARE PHARMACY LLC
Active
Organization
VISTA CARE PHARMACY LLC
Active
Other names
Vista Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN SALAZAR (PHARMACIST MANAGER)
(719) 628-2661
Entity
Organization
Contact information
Practice address
133 ADAMS ST, MONTE VISTA, CO 81144-1444
(719) 628-2661
Mailing address
133 ADAMS ST, MONTE VISTA, CO 81144-1444
(719) 628-2661
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PDO.1680000095
CO
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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