Coordinated Care Network Pharmacy

LBN: Ccn America Lp
Coordinated Care Network Pharmacy is an health care organization with primary practice located at 249 S 13Th St , Philadelphia PA 19107-5640. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ccn America Lp can be contacted via phone (844) 657-6786, or through Pollack, Thomas via phone (412) 349-6300.

Contact Information

Primary practice address
249 S 13Th St Philadelphia PA 19107-5640
Phone: (844) 657-6786
Fax: (267) 324-3594
Website:
Map and Directions
Authorized official contact:
Name: Pollack, Thomas
Phone: (412) 349-6300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482532 Pennsylvania

Profile Details

NPI number 1003214214
LBN Legal business name Ccn America Lp
DBA Doing business as Coordinated Care Network Pharmacy
Authorized official Pollack, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2014
Last updated Feb 24th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003214214 NPPES
Pennsylvania MEDICAID 1018103020002
Pennsylvania Other 2149363

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