Organization
TEVA NEUROSCIENCE, INC.
Active
Other names
Shared Solutions Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE LYNCH (VP, PT. SERVICES & SUPPORT)
(816) 508-5000
Entity
Organization
Contact information
Practice address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 508-5425
(816) 508-5048
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 508-5425
(816) 508-5048
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
2004011693
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2640185
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/09/2012
Last updated
04/09/2012
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