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HOME INFUSION OF LUZERNE COUNTY

Active
Other names
Therapoint
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DANA W. SOPER RPH, MBA (CEO)
(513) 891-6666
Entity
Organization

Contact information

Practice address
390 PIERCE STREET, KINGSTON, PA 18704
(570) 288-9388
(570) 763-0064
Mailing address
1000 MEADE STREET, SUITE 104, DUNMORE, PA 18512
(570) 961-5100
(570) 961-8599

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
PP481303
PA
261QI0500X
Infusion Therapy Clinic/Center
PP481303
PA
332B00000X
Durable Medical Equipment & Medical Supplies
PP481303
PA
333600000X
Pharmacy
PP481303
PA
3336C0003X
Community/Retail Pharmacy
PP481303
PA
3336C0004X
Compounding Pharmacy
PP481303
PA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PP481303
PA
3336M0002X
Mail Order Pharmacy
PP481303
PA
3336S0011X
Specialty Pharmacy
PP481303
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001472006003
PA
Enumeration date
10/24/2006
Last updated
01/13/2009
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