Organization
REAL WORLD ENTERPRISES, INC
Active
Organization
REAL WORLD ENTERPRISES, INC
Active
Other names
Four Square, PPS
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILSON (PRESIDENT)
(858) 336-1821
Entity
Organization
Contact information
Practice address
4803 INNOVATION DR, UNIT 2, FORT COLLINS, CO 80525-7307
(970) 223-1930
Mailing address
4803 INNOVATION DR, UNIT 2, FORT COLLINS, CO 80525-7307
(970) 223-1930
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PDO-843
CO
Other
Enumeration date
07/24/2012
Last updated
02/04/2014
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