Organization
LA CLINICA TEPEYAC, INC
Active
Other names
Tepeyac Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLA REGINA DONOHOO (REVENUE CYCLE MANAGER)
(720) 274-2923
Entity
Organization
Contact information
Practice address
2101 E 48TH AVE, DENVER, CO 80216-2253
(303) 458-5302
Mailing address
4725 HIGH ST, DENVER, CO 80216-2220
(303) 458-5302
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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