Organization
ATLAS LIQUOR, LLC
Active
Other names
Atlas Valley Purveyors
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COHAGEN (OWNER)
(303) 661-0822
Entity
Organization
Contact information
Practice address
2770 ARAPAHOE RD, LAFAYETTE, CO 80026-8018
(720) 287-1728
Mailing address
3939 95TH ST, BOULDER, CO 80301-4942
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1680000059
CO
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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