CUMBERLAND FAMILY PRACTICE ( A DIVISION OF HERITAGE MEDICAL GROUP, LLP - NPI 1629268958 - Non-Pharmacy Dispensing Site in Enola, PA

Q: What is the provider's specialty?

The provider's specialty is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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About Cumberland Family Practice ( A Division Of Heritage Medical Group, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUMBERLAND FAMILY PRACTICE ( A DIVISION OF HERITAGE MEDICAL GROUP, LLP (NPI 1629268958) is a healthcare organization registered as a non-pharmacy dispensing site in Enola, Pennsylvania and active in the NPI registry since August 2007. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1629268958

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameCUMBERLAND FAMILY PRACTICE ( A DIVISION OF HERITAGE MEDICAL GROUP, LLP

Location Address4470 VALLEY STEnola, PA 17025-1443

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(717) 732-8883

Organization SubpartYesParent: Medvantx, Inc

Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990

Enumeration DateAugust 1, 2007

Last NPPES UpdateJune 23, 2014

✔ NPI 1629268958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in PA · MD042461L

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4470 VALLEY ST, Enola, PA 17025

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