Provider Demographics
NPI:1083026199
Name:RABSKVI HEALTH INC
Entity Type:Organization
Organization Name:RABSKVI HEALTH INC
Other - Org Name:HEALTH DEPOT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BHARATH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMINENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-509-4844
Mailing Address - Street 1:1571 MANHEIM PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3071
Mailing Address - Country:US
Mailing Address - Phone:717-509-4844
Mailing Address - Fax:717-509-4044
Practice Address - Street 1:1571 MANHEIM PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3071
Practice Address - Country:US
Practice Address - Phone:717-509-4844
Practice Address - Fax:717-509-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0002X, 3336C0004X, 3336L0003X, 3336S0011X
PAPP4824673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145950OtherPK
PA1029203270001Medicaid
2145950OtherPK