Organization
CCN AMERICA, LP
Active
Other names
Coordinated Care Network Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS POLLACK (VP)
(412) 349-6300
Entity
Organization
Contact information
Practice address
300 PENN CENTER BLVD STE 405, PITTSBURGH, PA 15235-5511
(412) 349-6300
(412) 349-6311
Mailing address
300 PENN CENTER BLVD STE 505, PITTSBURGH, PA 15235-5505
(412) 349-6300
(412) 349-6311
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
054.018830
IL
3336S0011X
Specialty Pharmacy
Primary
114317
AL
3336S0011X
Specialty Pharmacy
22-13060
KS
3336S0011X
Specialty Pharmacy
264536
MN
3336S0011X
Specialty Pharmacy
4388
IA
3336S0011X
Specialty Pharmacy
6301010585
MI
3336S0011X
Specialty Pharmacy
64001140A
IN
3336S0011X
Specialty Pharmacy
A9-0001443
DE
3336S0011X
Specialty Pharmacy
MO40001734
ME
3336S0011X
Specialty Pharmacy
NRX0000414
DC
3336S0011X
Specialty Pharmacy
P07388
MD
3336S0011X
Specialty Pharmacy
PA1463
KY
3336S0011X
Specialty Pharmacy
PCN.002683
CT
3336S0011X
Specialty Pharmacy
PH26057
FL
3336S0011X
Specialty Pharmacy
PHNR000903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235504
—
NJ
05
—
1018103020001
—
PA
05
—
1114004082
—
IL
05
—
1114004082
—
MN
05
—
2016006960
—
VA
01
—
2177295
PK
—
05
—
2721540
—
OH
05
—
300012108
—
IN
05
—
3810008615
—
WV
05
—
7100147740
—
KY
Enumeration date
04/30/2018
Last updated
04/30/2018
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