Provider Demographics
NPI:1073171906
Name:CATALENT PHARMACY SERVICES (PHL)
Entity Type:Organization
Organization Name:CATALENT PHARMACY SERVICES (PHL)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CLINICAL SUPPLY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-537-6106
Mailing Address - Street 1:3031 RED LION RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1123
Mailing Address - Country:US
Mailing Address - Phone:215-613-3056
Mailing Address - Fax:215-632-3690
Practice Address - Street 1:3031 RED LION RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1123
Practice Address - Country:US
Practice Address - Phone:215-613-3056
Practice Address - Fax:215-632-3690
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATALENT PHARMA SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy