| NPI | 1912314642 |
|---|---|
| Doing Business As | MEDVANTX SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SEAN HARMS Pharmacist In Charge 866-744-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-08-24 |