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
912 W BELMONT AVE, CHICAGO, IL 60657-6466
(773) 665-8990
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
0054013257
IL
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463544
—
MI
05
—
200356880C
—
IN
05
—
2384147
—
OH
Enumeration date
05/23/2005
Last updated
12/03/2010
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