Provider Demographics
NPI:1386044980
Name:ANIMAL HEALTH INTERNATIONAL, INC.
Entity Type:Organization
Organization Name:ANIMAL HEALTH INTERNATIONAL, INC.
Other - Org Name:ANIMAL HEALTH INTERNATIONAL, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR OF PHARMACY OPS
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WIGFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:612-306-2721
Mailing Address - Street 1:2915 ROCKY MOUNTAIN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9048
Mailing Address - Country:US
Mailing Address - Phone:008-854-7664
Mailing Address - Fax:970-346-2312
Practice Address - Street 1:4305 N WESTPORT AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57107-0711
Practice Address - Country:US
Practice Address - Phone:970-584-5145
Practice Address - Fax:970-553-8750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD100-19333336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2147613OtherPK