Organization
POUDRE VALLEY HEALTH CARE INC.
Active
Parent organization
POUDRE VALLEY HEALTH CARE INC
Other names
Poudre Valley Hospital Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY HEALTH CARE INC
Authorized official
DAVID THOMPSON (CFO)
(970) 495-7000
Entity
Organization
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
7901 E. LOWRY BLVD., F402, 3RD FLOOR, DENVER, CO 80230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
010305
CO
333600000X
Pharmacy
Primary
010305
CO
3336C0002X
Clinic Pharmacy
010305
CO
3336C0003X
Community/Retail Pharmacy
010305
CO
3336C0004X
Compounding Pharmacy
010305
CO
3336S0011X
Specialty Pharmacy
010305
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0623238
NCPDP
CO
Enumeration date
12/23/2014
Last updated
08/01/2025
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