Mary Ann Dibiagio Do Pc
Non-pharmacy Dispensing Site
1673 State Route 65, Ellwood City
Pennsylvania, 16117
724-758-7559 Mary Ann Dibiagio Do Pc is not a DME supplier for medicare equipments and products.
Mary Ann Dibiagio Do Pc is a Non-pharmacy Dispensing Site in Ellwood City, Pennsylvania. This organization is also known as sub part of Medvantx, Inc. It is located at 1673 State Route 65, Ellwood City and it's customer support contact number is 724-758-7559. The authorized person of Mary Ann Dibiagio Do Pc is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Mary Ann Dibiagio Do Pc is OS005303L for Non-pharmacy Dispensing Site in Pennsylvania.
Mary Ann Dibiagio Do Pc 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:
Mary Ann Dibiagio Do Pc 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: | Mary Ann Dibiagio Do Pc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1673 State Route 65, Ellwood City, Pennsylvania, 16117 |
| Phone: | 724-758-7559 |
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: | Vp 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: | 1710028832 |
| Parent Organization: | Medvantx, Inc |
| NPI Enumeration Date: | 09 Feb, 2007 |
| NPI Last Update On: | 03 Mar, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Ann Dibiagio Do Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | OS005303L | 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: | -- |
Patients can reach Mary Ann Dibiagio Do Pc at
1673 State Route 65, Ellwood City, Pennsylvania or can
call on customer care at 724-758-7559.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.