| NPI | 1265768147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GESELKOVICH President 303-333-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO PDO-810) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 20156001224) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CO 20156001224) | |
| 333300000X Emergency Response System Companies (Licence: CO 66456223 HCBS) | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2023-03-07 |