MEDICARE: PENTEC HEALTH INC

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
1	251F00000X	Home Infusion Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BC3200X	Customized Equipment (DME)
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	333600000X	Pharmacy
6	3336C0004X	Compounding Pharmacy
7	3336S0011X	Specialty Pharmacy
8	335G00000X	Medical Foods Supplier
9	3336H0001X	Home Infusion Therapy Pharmacy	PP413743L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2084931	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770528994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENTEC HEALTH INC

Provider Business Mailing Address
First Line	:	4 CREEK PKWY
Second Line	:
City	:	UPPER CHICHESTER
State	:	PA
Zip	:	19061-3132
Country	:	US
Telephone Number	:	610-494-8700
Fax Number	:	610-494-7328

Provider Business Practice Location Address
First Line	:	4 CREEK PKWY
Second Line	:
City	:	UPPER CHICHESTER
State	:	PA
Zip	:	19061-3132
Country	:	US
Telephone Number	:	610-494-8700
Fax Number	:	610-494-7328

Authorized Official
Title or Position	:	CFO
Name	:	ERIC MOLLMAN
Credential	:
Telephone Number	:	610-494-8700

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	05/02/2025

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Directions to “PENTEC HEALTH INC ” Practice Location

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