Organization
AMERIPHARM, INC
Active
Other names
Medvantx Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA BUNDE (PHARMACIST IN CHARGE)
(605) 212-5198
Entity
Organization
Contact information
Practice address
6204 NEW CUT RD UNIT 102, FAIRDALE, KY 40118-8303
(844) 877-8444
(866) 345-2757
Mailing address
6204 NEW CUT RD UNIT 102, FAIRDALE, KY 40118-8303
(844) 877-8444
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146826
PK
—
Enumeration date
07/15/2014
Last updated
08/12/2026
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