Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Parent organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Other names
PENN HOME INFUSION THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Authorized official
GENEVIEVE LEVANS (ASSOCIATE DIRECTOR OF PHARMACY)
(215) 796-2085
Entity
Organization
Contact information
Practice address
625 CLARK AVE STE 10, KING OF PRUSSIA, PA 19406-4025
(610) 992-3920
Mailing address
625 CLARK AVE STE 10, KING OF PRUSSIA, PA 19406-4025
(610) 992-3920
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001258770270
—
PA
Enumeration date
01/27/2022
Last updated
01/27/2022
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