Innovative Pharmacy

LBN: Innovative Pharmacy Llc
Innovative Pharmacy is an health care organization with primary practice located at 2014 Ford Rd Ste B , Bristol PA 19007-6743. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Innovative Pharmacy Llc can be contacted via phone (267) 878-0492, or through Landa, Evan via phone (908) 216-6680.

Contact Information

Primary practice address
2014 Ford Rd Ste B Bristol PA 19007-6743
Phone: (267) 878-0492
Fax: (267) 878-0534
Website:
Map and Directions
Authorized official contact:
Name: Landa, Evan
Phone: (908) 216-6680

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PP482279 Pennsylvania

Profile Details

NPI number 1497017461
LBN Legal business name Innovative Pharmacy Llc
DBA Doing business as Innovative Pharmacy
Authorized official Landa, Evan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2012
Last updated Aug 22nd, 2012 - about 14 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 1497017461 NPPES
Other 3997701 NCPDP PROVIDER IDENTIFICATION NUMBER

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