Millcreek Family Practice, Inc., NPI 1588838312
Non-Pharmacy Dispensing Site in Erie, 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 1588838312
NPI Entity Type Organization
Provider Name Millcreek Family Practice, Inc.
Subpart of Organization Medvantx, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 145 W 23rd St, Suite 101, Erie, 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. MD016068E
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

Millcreek Family Practice, Inc.
145 W 23rd St
Suite 101

Erie, PA, US

Phone: 814-461-6626

Mailing Address

Millcreek Family Practice, Inc.
5626 Oberlin Dr
Suite 110
San Diego, CA, US
ZIP 921211705
Phone: 858-625-2990

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