# POUDRE VALLEY HEALTH CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POUDRE VALLEY HEALTH CARE INC
- **Other names:** Poudre Valley Hospital Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255729380
- **Legal business name:** POUDRE VALLEY HEALTH CARE INC
- **Authorized official:** DAVID THOMPSON (CFO)
- **Authorized official phone:** (970) 495-7000

## Contact information

- **Practice address:** 1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
- **Practice address phone:** (970) 495-7000
- **Mailing address:** 7901 E. LOWRY BLVD., F402, 3RD FLOOR, DENVER, CO 80230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 010305 | CO | — |
| 333600000X | Pharmacy | 010305 | CO | Yes |
| 3336C0002X | Clinic Pharmacy | 010305 | CO | — |
| 3336C0003X | Community/Retail Pharmacy | 010305 | CO | — |
| 3336C0004X | Compounding Pharmacy | 010305 | CO | — |
| 3336S0011X | Specialty Pharmacy | 010305 | CO | — |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 08/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0623238 | NCPDP | CO |