Organization
HERITAGE THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ANTHONY RAFFAELE (PRESIDENT)
(855) 343-2136
Entity
Organization
Contact information
Practice address
2173 MACDADE BLVD, UNIT C & D, HOLMES, PA 19043-1217
(855) 343-2136
Mailing address
2173 MACDADE BLVD, UNIT C & D, HOLMES, PA 19043-1217
(855) 343-2136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482405
PA
Other
Enumeration date
07/26/2013
Last updated
06/18/2015
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