| NPI | 1790234862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA SILOLAHTI SVP Managed Care Contracting 720-282-2382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: RI PHA00611) |
| Additional Taxonomies | 251E00000X Home Health (Licence: RI HNC02401) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI PHA00611) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: RI PHA00611) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: RI PHA00611) | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2024-04-09 |