1033166814

Everything you always wanted to know about OPTION CARE ENTERPRISES, INC. 3 OPTION CARE BERMAN CLIFF but were afraid to ask.

OPTION CARE ENTERPRISES, INC. 3 OPTION CARE BERMAN CLIFF

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Last Name Authorized Official First Name
OPTION CARE ENTERPRISES, INC. 3 OPTION CARE BERMAN CLIFF
Gender:
none
Enumeration date:
2006-05-27
Last update date:
2016-08-15
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
0309300002 Medicare NSC none none
5458706 Medicaid none NJ
5458714 Medicaid none NJ
1007420660011 Medicaid none PA
19-1289290 Medicaid none PA
158363 Medicare PIN none none

Taxonomies

Taxonomy State License Number Primary?
3336C0003X Community/Retail Pharmacy PA PP414549L
333600000X Pharmacy PA PP414549L
261QI0500X Infusion Therapy PA PP414549L
332BP3500X Parenteral & Enteral Nutrition PA PP414549L
3336S0011X Specialty Pharmacy PA PP414549L
251F00000X Home Infusion none none
3336H0001X Home Infusion Therapy Pharmacy PA PP414549L

Phone Numbers

Type Number
Mailing Address Telephone Number 8008796137
Authorized Official Telephone Number 8008796137
Mailing Address Fax Number 8479139024
Practice Location Address Telephone Number 6108677774
Practice Location Address Fax Number 6108676473

Addresses

Type Address City State Postal Country
Mailing Address 4238 PAYSPHERE CIR BUILDING A CHICAGO IL 60674 IL
Practice Location Address 3895 ADLER PL BETHLEHEM PA 18017 PA

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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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