NPI 1699714022
Banner Home Medsolutions
Practice location
- Address
- 1990 59th Ave, Greeley, CO 80634-9654
- Phone
- (970) 506-8436
- Mailing address
- 2901 N Central Ave STE 160, Phoenix, AZ 85012-2702
Authorised official
- Name
- Dennis Laraway
- Title
- Cfo
- Phone
- (602) 747-4000
Registered specialties (5)
Home Infusion Agency
Primary
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition Supplies (DME)
Compounding Pharmacy
Registry record
- NPI
- 1699714022
- Entity type
- Organization
- NPI issued
- 4 Jun 2006
- Record last updated
- 30 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.