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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
13336L0003XLong Term Care Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22157273OTHERPK

General Provider Information

NPI Number : 1326403643
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALUE SPECIALTY PHARMACY LLC
Provider Business Mailing Address
First Line : PO BOX 645336
Second Line :
City : PITTSBURGH
State : PA
Zip : 15264-5251
Country : US
Telephone Number : 855-265-8008
Fax Number : 814-283-2211
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 : 814-283-2211
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : NATALIE RYAN
Credential :
Telephone Number : 855-265-8008
Provider Enumeration Date : 12/31/2015
Last Update Date : 02/28/2025

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Directions to “VALUE SPECIALTY PHARMACY LLC ” Practice Location

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