NPI 1003436536

Frda Apothecary

Organisation Clinic Pharmacy Greeley, CO

Practice location

Address: 6801 W 20th St Unit 208, Greeley, CO 80634-9640
Phone: (970) 301-0130
Mailing address: PO Box 69, Timnath, CO 80547-0069

Authorised official

Name: Michele Blum
Title: Practice Manager
Phone: (970) 673-1155

Registered specialties

Clinic Pharmacy Primary

Suppliers Taxonomy 3336C0002X

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Registry record

NPI: 1003436536
Entity type: Organization
NPI issued: 24 Apr 2020
Record last updated: 30 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.