Organization
ST LUKES HOMESTAR SERVICES LLC
Active
Parent organization
ST LUKES HOSPITAL
Other names
HomeStar Rx and Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES HOSPITAL
Authorized official
MR. JOSEPH BORGIONI RPH (PHARMACY ADMINISTRATOR)
(484) 526-7650
Entity
Organization
Contact information
Practice address
77 S COMMERCE WAY, STE 200, BETHLEHEM, PA 18017-8917
(610) 954-4210
(610) 882-0246
Mailing address
77 S COMMERCE WAY, STE 200, BETHLEHEM, PA 18017-8917
(610) 954-4210
(610) 882-0246
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
PP-481788
PA
261QM2500X
Medical Specialty Clinic/Center
FH0725412
PA
332B00000X
Durable Medical Equipment & Medical Supplies
1000002573
PA
3336H0001X
Home Infusion Therapy Pharmacy
PP-481788
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021941790003
—
PA
01
—
121601
THREE RIVERS
PA
01
—
213649
HIGHMARK
PA
01
—
39HA15
CAPITAL BLUE CROSS
PA
01
—
6112210002
MEDICARE NHIC PTAN
PA
Enumeration date
03/01/2008
Last updated
07/09/2012
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