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Contact Information

INNOVIANT PHARMACY
1800 BYBERRY RD
STE 1202
HUNTINGDON VALLEY, PA19006-3518
 Phone: 215-947-8169
 Fax: 888-215-6779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for INNOVIANT PHARMACY

NPI Number 1154469146
LBN Legal business name INNOVIANT PHARMACY
Authorized official JOSEPH MCCANN - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 07/31/2007 - About 19 years ago
Identifiers
PA License # PP412934L
Other 3966085 OTHER ID NUMBER
Other 3966085 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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