Organization
VITALANT
Active
Other names
CanyonCARE Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHAVI A. SHAH (EVP, CHIEF LEGAL & RISK OFFICER, GE)
(480) 675-5653
Entity
Organization
Contact information
Practice address
201 N. CRAIG STREET, SUITE 501, PITTSBURGH, PA 15213
(412) 209-7424
(412) 360-7134
Mailing address
201 N. CRAIG STREET, SUITE 501, PITTSBURGH, PA 15213
(412) 209-7424
(412) 360-7134
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PP482768
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177694
PK
—
Enumeration date
05/15/2018
Last updated
10/08/2025
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