Organization
SUNDANCE DRUG CORP
Active
Organization
SUNDANCE DRUG CORP
Active
Other names
Sundance Drug & Liquor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN WICKES (OWNER)
(970) 923-5890
Entity
Organization
Contact information
Practice address
0016 KEARNS RD, SNOWMASS VLG, CO 81615
(970) 923-5890
Mailing address
PO BOX 6280, SNOWMASS VLG, CO 81615-6280
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14-1
CO
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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