Provider Demographics
NPI:1518466606
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 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:800-854-7664
Mailing Address - Fax:970-346-2312
Practice Address - Street 1:203 4TH AVE W
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6025
Practice Address - Country:US
Practice Address - Phone:970-584-5284
Practice Address - Fax:970-347-3822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336S0011X, 3336S0011X
ID41155RP333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2171743OtherPK