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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