Organization
CCN AMERICA LP
Active
Other names
Coordinated Care Network Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS POLLACK (VICE PRESIDENT AND CFO)
(412) 349-6300
Entity
Organization
Contact information
Practice address
268 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(862) 237-7298
Mailing address
300 PENN CENTER BLVD STE 505, PITTSBURGH, PA 15235-5505
(412) 349-6300
(412) 349-6724
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00730700
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143763
PK
—
Enumeration date
01/13/2014
Last updated
07/15/2016
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