National Provider Identifier Database

POUDRE VALLEY HEALTH CARE INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

POUDRE VALLEY HEALTH CARE INC.
1024 S LEMAY AVE
FORT COLLINS, CO80524-3929
Phone: 970-495-7000
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Durable Medical Equipment & Medical Supplies 332B00000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for POUDRE VALLEY HEALTH CARE INC.

NPI Number 1255729380
Legal business name
LBN
POUDRE VALLEY HEALTH CARE INC.
Authorized official DAVID THOMPSON - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 12/23/2014
Last updated 08/01/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 010305
  • CO Other: 0623238 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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