Healthcare Provider Details

I. General information

NPI: 1487661591
Provider Name (Legal Business Name): SNI HEALTHCARE TECHNOLOGIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BUSINESS CENTER DR SUITE 100D
HORSHAM PA
19044-3456
US

IV. Provider business mailing address

13111 COLLECTION CENTER DR
CHICAGO IL
60693-0131
US

V. Phone/Fax

Practice location:
  • Phone: 267-532-1661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number3000008031
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP414715L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberA9-0000656
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number60009067
License Number StateSC

VIII. Authorized Official

Name: BRYANT MOSHANG
Title or Position: CONTROLLER
Credential:
Phone: 410-910-1500