Organization · Type 2 NPI

Erie Physicians Network- Upmc Inc

Non-Pharmacy Dispensing Site · Erie, PA

NPI number 1629340609 Active

Practice location

3535 Pine Ave, Ste 1
Erie, PA 16504-1743

Call (814) 454-3363 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	OS005969L (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.)

9 other providers at this address

Other non-pharmacy dispensing site providers in Erie

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NPI record

NPI: 1629340609
Entity type: Organization (Type 2)
Issued: Feb 6, 2012
Last updated: May 23, 2013
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Pinecrest Family Practice (pine Avenue) · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629340609

Erie Physicians Network- Upmc Inc's National Provider Identifier is 1629340609, issued on Feb 6, 2012. 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 May 23, 2013.