Fresh Rx LLC

NPI #1942684329 in Ignacio, Colorado

Provider Information

NPI Number: 1942684329
Entity Type: Organization
Organization Name: Fresh Rx LLC
Primary Specialty: Pharmacy
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 565 GODDARD AVE
City: Ignacio
State: Colorado
ZIP Code: 81137-0347
Phone: (970) 442-6400

Authorized Official

Name: MRS. BROOK LEE, M.A.
Title: CFO
Phone: (970) 946-6230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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