| NPI | 1699725739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITO PONZIO, JR. Sr VP 303-672-8631 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: CA PHY 41725) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA 120000325) |
| 251F00000X Home Infusion (Licence: CA 120000325) | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: CA PHY 41725) | |
| 333600000X Pharmacy (Licence: CA PHY 41725) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY 41725) | |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: CA PHY 41725) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA -PHY48940) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-03-07 |