Organization Name: | MPA PHARMACEUTICAL SERVICES LLC |
NPI Number: | 1467441204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEROME PRUSACK (OWNER) |
Mailing Address: | 16750 Sr 706 Suite 5 Montrose |
State: | PA US |
Postal Code: | 188019263 |
Phone Number: | 5702788790 |
Fax Number: | 5702782975 |
NPI Enumeration Date: | 10/14/2005 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |