Organization
MARILLAC CLINIC, INC.
Active
Other names
Marillac Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LATA RAMACHANDRAN (CEO)
(970) 200-1600
Entity
Organization
Contact information
Practice address
526 29 1/2 RD, GRAND JUNCTION, CO 81504-5383
(705) 498-5779
(970) 549-8650
Mailing address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 200-1600
(970) 200-1600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
02/13/2026
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