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Provider Information for 1730177668


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PHARMACY, INC.

Other Names:  
Doing Business As: 
AEROCARE

Organization Subpart: YES

NPI: 1730177668
Last Updated: 2022-11-14
Certification Date: 2022-11-09

Details

NameValue
NPI1730177668
Enumeration Date2005-10-13
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mr. STEPHEN GRIGGS
Title: CEO
Phone: 4072060040
Mailing Address 220 W GERMANTOWN PIKE STE 250
PLYMOUTH MEETING, PA 19462-1437
United States

Phone: 610-630-6357 | Fax:
 
Primary Practice Address 370 INDUSTRIAL RD
MURRAY, KY 42071
United States

Phone: 866-280-3494 | Fax:866-855-6341
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2130888PK
MEDICAIDKY9000603200
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 332B00000X - Durable Medical Equipment & Medical Supplies
No 332BX2000X - Durable Medical Equipment & Medical Supplies - Oxygen Equipment & SuppliesKY
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyKYP07295