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Organization

NORTH AMERICAN HOME HEALTH SUPPLY

Active
Other names
NORTH AMERICAN PHCY
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL FICHERA RPH (SR. VP, TREASURER)
(631) 870-5100
Entity
Organization

Contact information

Practice address
16129 COHASSET ST, VAN NUYS, CA 91406-2908
(818) 782-3757
(800) 531-3344
Mailing address
PO BOX 637299, CINCINNATI, OH 45263-0001
(800) 218-5604
(631) 249-5863

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY50164
CA
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0525800
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHA 50164
CA
Enumeration date
05/04/2006
Last updated
05/25/2012
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