Hickory Family Practice, NPI 1053453829
Non-Pharmacy Dispensing Site in Hickory, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1053453829
NPI Entity Type Organization
Provider Name Hickory Family Practice
Subpart of Organization Medvantx, Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4151 Henderson Rd, Hickory, PA, US
Provider Mailing Address 5626 Oberlin Dr, Suite 110, San Diego, CA, US, 921211705
Is Sole Proprietor? No
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Organization Official

Official Name Kenny Heine
Official Position DIRECTOR OF OPERATIONS
Phone 858-625-2990

Primary Taxonomy

Taxonomy Code

332900000X

Taxonomy Name Non-Pharmacy Dispensing Site
Classification

Non-Pharmacy Dispensing Site

Group

Suppliers

License No. MD031278E
License State PA
Description 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.)

Business Address

Hickory Family Practice
4151 Henderson Rd

Hickory, PA, US

Phone: 724-356-2273

Mailing Address

Hickory Family Practice
5626 Oberlin Dr
Suite 110
San Diego, CA, US
ZIP 921211705

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