Organization
DILLSBURG FAMILY HEALTH CENTER
Active
Parent organization
MEDVANTX,INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX,INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
126 W CHURCH ST, SUITE 200, DILLSBURG, PA 17019-1232
(717) 432-2411
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
OS002847E
PA
Other
Enumeration date
06/09/2009
Last updated
01/16/2014
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