Whalio Doctors

NPI 1104590595

Banner Home Medsolutions

Organisation Home Infusion Agency Greeley, CO

Practice location

Address
1990 59th Ave STE 200, Greeley, CO 80634-9654
Phone
(970) 810-6455
Fax
(970) 810-6422
Mailing address
2901 N Central Ave STE 160, Phoenix, AZ 85012-2702

Authorised official

Name
Dennis Laraway
Title
Chief Financial Officer
Phone
(602) 747-4000

Registered specialties (5)

Home Infusion Agency Primary
Agencies Taxonomy 251F00000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

Registry record

NPI
1104590595
Entity type
Organization
NPI issued
9 Aug 2021
Record last updated
22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.