| NPI | 1740236322 |
|---|---|
| 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: HI PHY-592) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: HI PHY-592) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: HI PHY-592) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: HI PHY-592) | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: HI PHY-592) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-03-07 |