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Organization

HOLY SPIRIT HEALTH SYSTEM

Active
Parent organization
MEDVANTX, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization

Contact information

Practice address
2850 COMMERCE DR, 300, HARRISBURG, PA 17110-9307
(717) 657-1361
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD018088E
PA

Other

Enumeration date
08/13/2007
Last updated
10/22/2012
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