# MATRIX VIP LLC

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

## Provider details

- **NPI number:** 1952071243
- **Authorized official:** JAMIN GROSS PHARMD (PHARMACIST)
- **Authorized official phone:** (412) 608-0515

## Contact information

- **Practice address:** 285 E WATERFRONT DR STE 130, HOMESTEAD, PA 15120-5017
- **Practice address phone:** (412) 586-4545
- **Practice address fax:** (866) 410-3304
- **Mailing address:** 285 E WATERFRONT DR STE 130, HOMESTEAD, PA 15120-5017
- **Mailing address phone:** (412) 586-4545

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 07/22/2024