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Organization

FRESH RX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BROOK LEE M.A. (CFO)
(970) 946-6230
Entity
Organization

Contact information

Practice address
565 GODDARD AVE, IGNACIO, CO 81137-0347
(970) 442-6400
(970) 563-4403
Mailing address
PO BOX 347, 565 GODDARD AVE, IGNACIO, CO 81137-0347
(970) 442-6400
(970) 563-4403

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
16800000093
CO

Other

Enumeration date
07/15/2015
Last updated
07/15/2015
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