Carolinas Physicians Network, Inc., NPI 1417367640
Non-Pharmacy Dispensing Site in Fort Mill, SC, 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 1417367640
NPI Entity Type Organization
Provider Name Carolinas Physicians Network, Inc.
Doing Business As
Subpart of Organization Medvantx, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1091a 521 Red Ventures Drive, Fort Mill, SC, 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 VP OF OPERATIONS
Phone 858-964-1506

Primary Taxonomy

Taxonomy Code

332900000X

Taxonomy Name Non-Pharmacy Dispensing Site
Classification

Non-Pharmacy Dispensing Site

Group

Suppliers

License No. 1262
License State SC
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.)

Other Organization Name

Red Ventures- CHS
Doing Business As

Business Address

Carolinas Physicians Network, Inc.
1091a 521 Red Ventures Drive

Fort Mill, SC, US

Phone: 803-547-4602

Mailing Address

Carolinas Physicians Network, Inc.
5626 Oberlin Dr
Suite 110
San Diego, CA, US
ZIP 921211705

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