Organization
PANTHERX SPECIALTY LLC
Active
Other names
PANTHERx Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE CRAIN (CONTRACTS MANAGER)
(855) 726-8479
Entity
Organization
Contact information
Practice address
280 MOORE LANE, COLLIERVILLE, TN 38017
(855) 726-8479
(855) 246-3986
Mailing address
121 BAYER RD BLDG 5, PITTSBURGH, PA 15205-9706
(855) 726-8479
(855) 246-3986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079597
—
OH
05
—
100296778
—
WI
05
—
102702417-0004
—
PA
05
—
1487488664
—
HI
05
—
1487488664
—
ME
05
—
1487488664
—
MI
05
—
1487488664
—
NC
05
—
1487488664
—
SD
05
—
177060
—
AZ
05
—
200566670C
—
OK
05
—
300100596
—
IN
05
—
30015069640005
—
VA
05
—
3147472
—
NH
05
—
6718462
—
VT
05
—
7101025040
—
KY
05
—
9000238468
—
CO
05
—
Q097581
—
TN
Enumeration date
08/29/2024
Last updated
09/17/2025
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