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NPI Code Detail

MEDICARE: BIOSCRIP PHARMACY, INC.

MEDICARE: BIOSCRIP PHARMACY, 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyPP415317LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831192814
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIOSCRIP PHARMACY, INC.
Provider Business Mailing Address
First Line : 10050 CROSSTOWN CIR
Second Line : STE 300
City : EDEN PRAIRIE
State : MN
Zip : 55344-3374
Country : US
Telephone Number : 800-753-5995
Fax Number : 952-352-6698
Provider Business Practice Location Address
First Line : 1227 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-5414
Country : US
Telephone Number : 215-627-2800
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : JAMES MELANCON
Credential :
Telephone Number : 917-449-6939
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/03/2010

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Directions to “BIOSCRIP PHARMACY, INC. ” Practice Location

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