Organization
PRIMO ENTERPRISES INC
Active
Other names
Chase Pharmacy Flu Shot Program
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON CHASE R. PH. (PHARMACIST)
(303) 822-9371
Entity
Organization
Contact information
Practice address
568 US HIGHWAY 36, BYERS, CO 80103-9700
(303) 822-9371
(303) 822-9746
Mailing address
568 US HIGHWAY 36, BYERS, CO 80103-9700
(303) 822-9371
(303) 822-9746
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1120000001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03165008
—
CO
Enumeration date
08/27/2007
Last updated
02/11/2008
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