Provider Demographics
NPI:1194027177
Name:COVETRUS NORTH AMERICA, LLC
Entity Type:Organization
Organization Name:COVETRUS NORTH AMERICA, LLC
Other - Org Name:VETS FIRST CHOICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSING AND CREDENTIALING ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-340-9721
Mailing Address - Street 1:5013 S 110TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2376
Mailing Address - Country:US
Mailing Address - Phone:866-356-6214
Mailing Address - Fax:
Practice Address - Street 1:5013 S 110TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2376
Practice Address - Country:US
Practice Address - Phone:866-356-6214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-24
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336M0002X
NE29243336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2127598OtherPK