Organization
INNOVAGE PHARMACY LLC.
Active
Other names
InnServioRx
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LOZZANO (PRESIDENT PHARMACY SERVICES)
(909) 486-9997
Entity
Organization
Contact information
Practice address
5303 SPINE RD UNIT 100, BOULDER, CO 80301-3330
(303) 854-9900
Mailing address
5303 SPINE RD UNIT 100, BOULDER, CO 80301-3330
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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