Provider Demographics
NPI:1043609597
Name:CONNECTED HEALTH, LLC
Entity Type:Organization
Organization Name:CONNECTED HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-933-4320
Mailing Address - Street 1:12620 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8662
Mailing Address - Country:US
Mailing Address - Phone:724-933-4320
Mailing Address - Fax:
Practice Address - Street 1:12620 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8662
Practice Address - Country:US
Practice Address - Phone:824-933-4305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
6001882OtherNCPDP
PAPP482571OtherPHARMACY LICENSE
PA103040110Medicaid
PA103040110Medicaid