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General NPI Number Information
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NPI Number | 1255403036
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Entity Type | Organization
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Legal Business Name | INFUSION TREATMENT CENTERS INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 651 TOPEKA WAY STE 600
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City | CASTLE ROCK
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State | CO
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Zip | 80109-3124
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Country | US
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Telephone | 303-663-4224
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Fax | 303-663-4263
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Provider Business Mailing Address
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Address Line | 651 TOPEKA WAY STE 600
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City | CASTLE ROCK
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State | CO
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Zip | 80109-3124
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Country | US
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Telephone | 303-633-4224
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Fax | 303-663-4263
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Authorized Official
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Title or Position | PRESIDENT PHCST
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Name | ALLAN JOLLY
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Credential | RPH
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Telephone | 303-663-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054.016310
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 370000018
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License Number State | CO
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