1033166814

Everything you always wanted to know about OPTION CARE ENTERPRISES, INC. 3 WALGREENS INFUSION SERVICES ZSITEK LORI but were afraid to ask.

OPTION CARE ENTERPRISES, INC. 3 WALGREENS INFUSION SERVICES ZSITEK LORI

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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 WALGREENS INFUSION SERVICES ZSITEK LORI
Gender:
none
Enumeration date:
2006-05-27
Last update date:
2014-02-26
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active
1007420660011 Medicaid none PA 1
5458714 Medicaid none NJ 1
0309300002 Medicare NSC none none 1
19-1289290 Medicaid none PA 1
5458706 Medicaid none NJ 1
158363 Medicare PIN none none 1

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
3336H0001X Home Infusion Therapy Pharmacy PA PP414549L

Phone Numbers

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

Addresses

Type Address City State Postal Country
Mailing Address 3131 PAYSPHERE CIR BUILDING A CHICAGO IL 60674 IL
Practice Location Address 3895 ADLER PL BETHLEHEM PA 18017 PA

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