Excela Chestnut Ridge Derry is not a DME supplier for medicare equipments and products.
Excela Chestnut Ridge Derry is a Non-pharmacy Dispensing Site in Latrobe, Pennsylvania. This pharmacy is owned and operated by Ehpp Chestnut Ridge Llc. This organization is also known as sub part of Medvantx, Inc.. It is located at 555 Route 217, Suite 1, Latrobe and it's customer support contact number is 724-694-2723. The authorized person of Excela Chestnut Ridge Derry is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Excela Chestnut Ridge Derry is MD033841 for Non-pharmacy Dispensing Site in Pennsylvania. Excela Chestnut Ridge Derry is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Excela Chestnut Ridge Derry type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Excela Chestnut Ridge Derry
Type:
Non-pharmacy Dispensing Site
Location:
555 Route 217, Suite 1, Latrobe, Pennsylvania, 15650-3428
Phone:
724-694-2723
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kenny Heine
Position:
Director Of Operations
Contact Number:
858-625-2990
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1437394558
Parent Organization:
Medvantx, Inc.
NPI Enumeration Date:
03 Dec, 2008
NPI Last Update On:
23 Oct, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Excela Chestnut Ridge Derry are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
MD033841
Pennsylvania
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5626 Oberlin Dr, Suite 110 San Diego, California
Zip:
92121-1705
Phone Number:
--
Fax Number:
--
Patients can reach Excela Chestnut Ridge Derry at 555 Route 217, Suite 1, Latrobe, Pennsylvania or can call on customer care at 724-694-2723.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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