Healthcare Provider Details

I. General information

NPI: 1083026199
Provider Name (Legal Business Name): RABSKVI HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1571 MANHEIM PIKE
LANCASTER PA
17601-3071
US

IV. Provider business mailing address

1571 MANHEIM PIKE
LANCASTER PA
17601-3071
US

V. Phone/Fax

Practice location:
  • Phone: 717-509-4844
  • Fax: 717-509-4044
Mailing address:
  • Phone: 717-509-4844
  • Fax: 717-509-4044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP482467
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BHARATH RAMINENI
Title or Position: BUSINESS OPERATING OFFICER
Credential:
Phone: 717-509-4844