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NPI Code Detail

MEDICARE: VALUE SPECIALTY PHARMACY LLC

MEDICARE: VALUE SPECIALTY PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336S0011XSpecialty Pharmacy031268NY
23336S0011XSpecialty PharmacyA9-0001090DE
33336S0011XSpecialty Pharmacy0000005673.TN
43336S0011XSpecialty PharmacyNRP02220030003OH
53336S0011XSpecialty Pharmacy30072MD
63336S0011XSpecialty PharmacyMO0560346WV
73336S0011XSpecialty Pharmacy28RO00072000NJ
8163WD0400XDiabetes Educator Registered Nurse
93336C0003XCommunity/Retail PharmacyPMP1131HI
103336L0003XLong Term Care Pharmacy
113336S0011XSpecialty Pharmacy0214001410VA
12291U00000XClinical Medical Laboratory
13333600000XPharmacyPA1991KY
143336C0002XClinic Pharmacy
153336S0011XSpecialty PharmacyPP482150PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22132442OTHERPK

General Provider Information

NPI Number : 1609151877
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALUE SPECIALTY PHARMACY LLC
Provider Business Mailing Address
First Line : 4200 INDUSTRIAL PARK DR
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1737
Country : US
Telephone Number : 855-265-8008
Fax Number : 844-812-6227
Provider Business Practice Location Address
First Line : 4200 INDUSTRIAL PARK DR
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1737
Country : US
Telephone Number : 855-265-8008
Fax Number : 844-812-6227
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : NATALIE RYAN
Credential :
Telephone Number : 814-283-2210
Provider Enumeration Date : 10/19/2011
Last Update Date : 06/10/2024

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Directions to “VALUE SPECIALTY PHARMACY LLC ” Practice Location

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