# PERIGON PHARMACY 360, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417642513
- **Authorized official:** CHRISTOPHER R ANTYPAS PHARM D (PRESIDENT)
- **Authorized official phone:** (412) 561-2347

## Contact information

- **Practice address:** 1120 STEVENSON MILL RD STE 200, CORAOPOLIS, PA 15108-2505
- **Practice address phone:** (412) 684-2500
- **Mailing address:** 1120 STEVENSON MILL RD STE 200, CORAOPOLIS, PA 15108-2505
- **Mailing address phone:** (412) 684-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2023
- **Last updated:** 04/06/2023