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Contact Information

AVENUE HEALTHCARE ENTERPRISES INC
1111 AVENUE OF THE STATES
STORE #2
CHESTER, PA19013
 Phone: 484-816-0344
 Fax: 484-816-0296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AVENUE HEALTHCARE ENTERPRISES INC

NPI # 1336467836
LBN Legal business name AVENUE HEALTHCARE ENTERPRISES INC
Authorized official KAYODE BALOGUN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2010
Last updated 01/28/2022 - About 4 years ago
Identifiers
PA Medicaid 1024548380001
PA Other 333600000X PHARMACY
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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