| NPI | 1841372638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA SILOLAHTI SVP Managed Care Contracting 720-282-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IL 054008189) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-10-07 |