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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