Healthcare Provider Details

I. General information

NPI: 1457939480
Provider Name (Legal Business Name): PARAGON HEMOPHILIA SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 EXECUTIVE PARK DR STE 203
CINCINNATI OH
45241-2089
US

IV. Provider business mailing address

3033 W PRESIDENT GEORGE BUSH HWY STE 100B
PLANO TX
75075-5752
US

V. Phone/Fax

Practice location:
  • Phone: 513-600-8513
  • Fax:
Mailing address:
  • Phone: 833-862-4559
  • Fax: 855-862-4373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMY MULDERRY
Title or Position: PRESIDENT
Credential:
Phone: 972-588-1000