Organization
FOUR CORNERS PHARMACY, LLC
Active
Other names
Four Corners Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA D BOJORQUEZ (DIRECTOR)
(702) 573-6861
Entity
Organization
Contact information
Practice address
1185 S. CAMINO DEL RIO, 160, DURANGO, CO 81303-6888
(970) 247-1434
(970) 247-7776
Mailing address
1185 S. CAMINO DEL RIO, 160, DURANGO, CO 81303-6888
(970) 247-1434
(970) 247-7776
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
06/23/2022
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