Valeda Rx Llc

LBN: Perigon Pharmacy 360, Llc
Valeda Rx Llc is an health care organization with primary practice located at 1120 Stevenson Mill Rd Ste 200 , Coraopolis PA 15108-2446. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Perigon Pharmacy 360, Llc can be contacted via phone (412) 684-2500, or through Hendrickson, Genese Marie via phone (412) 684-2500.

Contact Information

Primary practice address
1120 Stevenson Mill Rd Ste 200 Coraopolis PA 15108-2446
Phone: (412) 684-2500
Fax: (844) 582-5332
Website:
Map and Directions
Authorized official contact:
Name: Hendrickson, Genese Marie
Phone: (412) 684-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1669823266
LBN Legal business name Perigon Pharmacy 360, Llc
DBA Doing business as Valeda Rx Llc
Authorized official Hendrickson, Genese Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2016
Last updated Jan 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669823266 NPPES
Pennsylvania MEDICAID 1032363790001
Pennsylvania MEDICAID 1669823266
Pennsylvania MEDICAID 1689851
Pennsylvania MEDICAID 7P2679
Pennsylvania MEDICAID 564121700
Pennsylvania MEDICAID 2111445
Pennsylvania Other 2160783
Pennsylvania MEDICAID 656739

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