Pharmacy Innovations
LBN: Southern Tier Home Infusion Inc
Pharmacy Innovations is an health care organization with primary practice located at 2936 W 17Th St , Erie PA 16505-3929. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Southern Tier Home Infusion Inc can be contacted via phone (814) 838-2102, or through Moon, Richard via phone (716) 720-5121.
Contact Information
Primary practice address
2936 W 17Th St
Erie PA 16505-3929
Phone: (814) 838-2102
Fax: (716) 708-6248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP481320 | Pennsylvania |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1629297718 |
|---|---|
| LBN Legal business name | Southern Tier Home Infusion Inc |
| DBA Doing business as | Pharmacy Innovations |
| Authorized official | Moon, Richard PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 13th, 2022 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629297718 | NPPES |
| Pennsylvania | MEDICAID | 1036178670001 | |
| Pennsylvania | Other | 2086805 |
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