Organization · Type 2 NPI

Medvantx,inc

Non-Pharmacy Dispensing Site · Erie, PA

NPI number 1417090358 Active

Practice location

3330 Peach St, Suite 107
Erie, PA 16508-2769

Mailing address

5810 Nancy Ridge Dr, Suite 100
San Diego, CA 92121-2834

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XMD053809L (PA)

Non-Pharmacy Dispensing Site: 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.)

14 other providers at this address

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About NPI 1417090358

Medvantx,inc's National Provider Identifier is 1417090358, issued on Feb 14, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Erie, PA. The record was last updated on Aug 22, 2020.