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
901 S RANCHO DR, STE 20, LAS VEGAS, NV 89106-3815
(702) 471-7828
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
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH01378
NV
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002802528
—
NV
05
—
003302528
—
NV
05
—
1760485692
—
UT
05
—
856461
—
AZ
Enumeration date
05/24/2005
Last updated
12/03/2010
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