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Organization

HEALTHDYNE SPECIALTY COLORADO, LLC

Active
Other names
HealthDyne Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP P BISESI (SENIOR VICE PRESIDENT & SECRETARY)
(863) 583-6248
Entity
Organization

Contact information

Practice address
7472 S TUCSON WAY, STE 100A, CENTENNIAL, CO 80112-4452
(800) 641-8475
Mailing address
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PDO1680000123
CO
3336H0001X
Home Infusion Therapy Pharmacy

Other

Enumeration date
09/26/2016
Last updated
06/11/2025
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