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PERIGON PHARMACY 360 LLC NPI 1669823266


NPI Information

NPI: 1669823266
Provider Name: PERIGON PHARMACY 360, LLC

Former Legal Business Name: VALEDA RX LLC

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
1120 STEVENSON MILL RD STE 200
CORAOPOLIS, PA
ZIP 15108
Phone: (412) 684-2500
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PERIGON PHARMACY 360, LLC is a specialty pharmacy pharmacy in Coraopolis, PA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. PERIGON PHARMACY 360, LLC NPI is 1669823266. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Valeda Rx Llc.

The provider's business location address is:

1120 STEVENSON MILL RD STE 200
CORAOPOLIS, PA
ZIP 15108-446
Phone: (412) 684-2500
Fax: (844) 582-5332

The provider's authorized official is Genese Marie Hendrickson .
The authorized official title is Chief Executive Officer and has the following contact phone number (412) 684-2500.

The enumeration date for this NPI number is 6/24/2016 and was last updated on 1/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11032363790001MEDICAIDPENNSYLVANIA
21669823266MEDICAIDCOLORADO
31689851MEDICAIDALASKA
47P2679MEDICAIDSOUTH CAROLINA
5564121700MEDICAIDMARYLAND
62111445MEDICAIDWASHINGTON
72160783OTHERPK
8656739MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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