Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Other names
Penn Home Infusion Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA I REDMOND (DIRECTOR)
(610) 992-3985
Entity
Organization
Contact information
Practice address
625 CLARK AVE, SUITE 10, KING OF PRUSSIA, PA 19406-1438
(610) 992-3920
(610) 265-7427
Mailing address
625 CLARK AVE, SUITE 10, KING OF PRUSSIA, PA 19406-1438
(610) 992-3920
(610) 265-7427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
PP414860L
PA
3336H0001X
Home Infusion Therapy Pharmacy
PP414860L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001258770182
—
PA
05
—
1001258770270
—
PA
Enumeration date
11/21/2005
Last updated
04/07/2023
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