Organization
COLORADO APOTHECARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GALLEGOS (CEO)
(808) 298-4338
Entity
Organization
Contact information
Practice address
12 MAHAE ST, MAKAWAO, HI 96768-9726
(808) 298-4338
Mailing address
PO BOX 81545, HAIKU, HI 96708-1545
(808) 298-4338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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