Organization
BIOSCRIP PHARMACY, INC.
Active
Other names
BioScrip Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MELANCON (VICE PRESIDENT)
(917) 449-6939
Entity
Organization
Contact information
Practice address
342 MASSACHUSETTS AVE, STE 103, INDIANAPOLIS, IN 46204-2192
(317) 631-6000
Mailing address
10050 CROSSTOWN CIR, STE 300, EDEN PRAIRIE, MN 55344-3374
(800) 753-5995
(952) 352-6698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60005193
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533428
—
MI
05
—
200159820A
—
IN
05
—
5400518600
—
KY
05
—
90013905
—
KY
Enumeration date
05/24/2005
Last updated
12/03/2010
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