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Contact Information

AVONELLE, INC
8868 ROUTE 338
KNOX, PA16232
 Phone: 814-797-2828
 Fax: 814-797-2870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AVONELLE, INC

NPI # 1538180856
LBN Legal business name AVONELLE, INC
Authorized official THOMAS RAY - (PRESIDENT, AVONELLE, INC.)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2006
Last updated 11/06/2012 - About 14 years ago
Identifiers
PA License # PP411246L
PA Medicaid 01269396
Other 3963940 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 0012693960001 PA PROMISE - MEDICAID
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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