Organization
WARREN FAMILY PRACTICE ASSOCIATES, INC.
Active
Parent organization
MEDVANTX, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
MR. KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
851 MAIN ST, WARREN, RI 02885-4384
(401) 247-1000
Mailing address
5810 NANCY RIDGE DR, SUITE 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
DO00373
RI
Other
Enumeration date
02/08/2007
Last updated
06/20/2008
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