| NPI | 1548376684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B HARTMAN Secretary 970-240-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CO 549) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 333600000X Pharmacy (Licence: CO 549) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-02-22 |