Organization
CCN AMERICA LP
Active
Other names
Coordinated Care Network Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS POLLACK (PRESIDENT & CFO)
(412) 349-6300
Entity
Organization
Contact information
Practice address
1500 W CYPRESS CREEK RD, SUITE 203, FORT LAUDERDALE, FL 33309-1833
(877) 349-6337
(412) 349-6724
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
Primary
PH30622
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167925
PK
—
Enumeration date
03/24/2016
Last updated
04/18/2017
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