<Unavail>

LBN: Fastvax Llc
<Unavail> is an health care organization with primary practice located at 829 Spruce Street , Philadelphia PA 19107-5752. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Fastvax Llc can be contacted via phone (215) 923-7070, or through Thompson, Amber via phone (215) 996-1400.

Contact Information

Primary practice address
829 Spruce Street Philadelphia PA 19107-5752
Phone: (215) 923-7070
Fax: (215) 923-0489
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Amber
Phone: (215) 996-1400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Pharmacy 333600000X PP413108L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X PP413108L Pennsylvania

Profile Details

NPI number 1033102967
LBN Legal business name Fastvax Llc
DBA Doing business as <Unavail>
Authorized official Thompson, Amber
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2005
Last updated Feb 16th, 2011 - about 15 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 1033102967 NPPES
Pennsylvania Other 3921613 NCPDP
Pennsylvania Other 3921613 NCPDP

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