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Organization

POUDRE VALLEY HEALTH CARE INC

Active
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Organization

POUDRE VALLEY HEALTH CARE INC

Active
Parent organization
POUDRE VALLEY HEALTH CARE INC
Other names
Harmony Emergency Department Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
POUDRE VALLEY HEALTH CARE INC
Authorized official
DAVID THOMPSON (CFO)
(970) 237-8100
Entity
Organization

Contact information

Practice address
4630 SNOW MESA DR, FORT COLLINS, CO 80528-8508
(970) 237-8140
Mailing address
7901 E LOWRY BLVD, MAIL STOP F402, DENVER, CO 80230-6507

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PDO31680000097
CO
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10080252
AZ
Enumeration date
07/27/2015
Last updated
01/04/2024
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