Organization
CCN AMERICA LP
Active
Organization
CCN AMERICA LP
Active
Other names
Coordinated Care Network Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS POLLACK (PRESIDENT AND CFO)
(412) 349-6300
Entity
Organization
Contact information
Practice address
249 S 13TH ST, PHILADELPHIA, PA 19107-5640
(844) 657-6786
(267) 324-3594
Mailing address
300 PENN CENTER BLVD, SUITE 505, PITTSBURGH, PA 15235-5511
(412) 349-6300
(412) 349-6724
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482532
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018103020002
—
PA
01
—
2149363
PK
—
Enumeration date
12/22/2014
Last updated
02/24/2022
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