Provider Demographics
NPI:1659972230
Name:COVETRUS NORTH AMERICA, LLC
Entity Type:Organization
Organization Name:COVETRUS NORTH AMERICA, LLC
Other - Org Name:
Other - Org Type:
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 1:14800 FAA BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76155-2252
Mailing Address - Country:US
Mailing Address - Phone:833-839-5428
Mailing Address - Fax:
Practice Address - Street 1:14800 FAA BLVD STE 150
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76155-2252
Practice Address - Country:US
Practice Address - Phone:833-839-5428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COVETRUS PHARMACY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-02
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy