Healthcare Provider Details
I. General information
NPI: 1497824346
Provider Name (Legal Business Name): PASSAVANT DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2550 EISENHOWER AVE STE B209
NORRISTOWN PA
19403-2331
US
IV. Provider business mailing address
100 PASSAVANT WAY
PITTSBURGH PA
15238-1318
US
V. Phone/Fax
- Phone: 484-690-0160
- Fax: 484-690-0165
- Phone: 412-820-1010
- Fax: 412-820-9157
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | PP481293 |
| License Number State | PA |
VIII. Authorized Official
Name:
RICK
D.
SENFT
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 412-820-1010