Poudre Infusion Therapy Llc
Parenteral & Enteral Nutrition
915 Centre Ave, Suite 3, Fort Collins
Colorado, 80526-6045
970-494-2130 970-494-2131
Poudre Infusion Therapy Llc is a Parenteral & Enteral Nutrition in Fort Collins, Colorado. It is located at 915 Centre Ave, Suite 3, Fort Collins and it's customer support contact number is 970-494-2130. The authorized person of Poudre Infusion Therapy Llc is Barry Kent Fancher who is Cfo/coo of the pharmacy and his contact number is 970-482-0198. Active license number of Poudre Infusion Therapy Llc is 440000021 for Parenteral & Enteral Nutrition in . Poudre Infusion Therapy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Poudre Infusion Therapy Llc is definition to come...
Pharmacy Details:
Poudre Infusion Therapy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Poudre Infusion Therapy Llc |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 915 Centre Ave, Suite 3, Fort Collins,
Colorado, 80526-6045 |
| Phone: | 970-494-2130 |
| Fax: | 970-494-2131 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Barry Kent Fancher |
| Position: | Cfo/coo |
| Contact Number: | 970-482-0198 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1912909987 |
| NPI Enumeration Date: | 10 Aug, 2005 |
| NPI Last Update On: | 28 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Poudre Infusion Therapy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Parenteral & Enteral Nutrition | 440000021 | | Primary | |
| Specialty Pharmacy | 440000021 | Colorado | Secondary | |
| Home Infusion Therapy Pharmacy | 440000021 | Colorado | Secondary | |
| Parenteral & Enteral Nutrition | 440000021 | Colorado | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 90204247 | Medicaid | Colorado | |
Medicare Enrollment:
Poudre Infusion Therapy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5395808315 | O20100930041057 | Poudre Infusion Therapy, Llc | DME SUPPLIER - PHARMACY |
Products Available:
Poudre Infusion Therapy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Infusion Pumps & Supplies: External Infusion | • Infusion Pumps & Supplies: Insulin Infusion |
| • Parenteral Equipment And/or Supplies | • Parenteral Nutrients |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 915 Centre Ave, Suite 3
Fort Collins, Colorado |
| Zip: | 80526-6045 |
| Phone Number: | 970-494-2130 |
| Fax Number: | 970-494-2131 |
Patients can reach Poudre Infusion Therapy Llc at
915 Centre Ave, Suite 3, Fort Collins, Colorado or can
call on customer care at 970-494-2130.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.