Poudre Infusion Therapy LLC
NPI #1912909987 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1912909987
- Entity Type
- Organization
- Organization Name
- Poudre Infusion Therapy LLC
- Primary Specialty
- Pharmacy - Specialty Pharmacy
- Enumeration Date
- Aug 10, 2005
- Last Updated
- Feb 28, 2017
Practice Location
- Address
- 915 CENTRE AVE
- Address 2
- SUITE 3
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80526-6045
- Phone
- (970) 494-2130
Authorized Official
- Name
- BARRY KENT FANCHER
- Title
- CFO/COO
- Phone
- (970) 482-0198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Home Infusion Therapy Pharmacy — Home Infusion Therapy Pharmacy |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
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