PANTHERX SPECIALTY LLC

Provider Demographics

• NPI: 1750843314
• Name: PANTHERX SPECIALTY LLC
• Entity Type: Organization
• Organization Name: PANTHERX SPECIALTY LLC
• Other - Org Name: PANTHERX SPECIALTY PHARMACY
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CEO
• Authorized Official - First Name: ROBERT
• Authorized Official - Last Name: SNYDER
• Authorized Official - Phone: 855-726-8479
• Mailing Address - Street 1: 24 SUMMIT PARK DR STE 101
• Mailing Address - City: PITTSBURGH
• Mailing Address - State: PA
• Mailing Address - Zip Code: 15275-1104
• Mailing Address - Country: US
• Practice Address - Street 1: 1120 STEVENSON MILL RD STE 400
• Practice Address - City: CORAOPOLIS
• Practice Address - State: PA
• Practice Address - Zip Code: 15108-2446
• Practice Address - Country: US
• Practice Address - Phone: 412-246-9858
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2019-04-03
• Last Update Date: 2023-10-09

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy
No	251F00000X	Agencies	Home Infusion

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	1750843314	Medicaid
HI	1750843314	Medicaid
ME	1750843314	Medicaid
KS	201105430B	Medicaid
IN	300035017	Medicaid
AZ	085356	Medicaid
NE	10026461102	Medicaid
RI	1750843314	Medicaid
IA	1750843314	Medicaid
WI	1750843314	Medicaid
AL	252886	Medicaid
KY	7100921100	Medicaid
OH	0410024	Medicaid
UT	1750843314	Medicaid
WV	1750843314	Medicaid
IL	1750843314	Medicaid
CT	1750843314	Medicaid
WY	225998200	Medicaid
DE	250629322	Medicaid
NH	3127541	Medicaid
NY	06604044	Medicaid
MA	110105692B	Medicaid
AK	1707107	Medicaid
MN	1750843314	Medicaid
TX	1750843314	Medicaid
SD	1750843314	Medicaid
LA	2208349	Medicaid
MD	542113601	Medicaid
MO	600095523	Medicaid
TN	Q057229	Medicaid
NM	03729541	Medicaid
MI	1750843314	Medicaid
CA	1750843314	Medicaid
OR	1750843314	Medicaid
VA	1750843314	Medicaid
CO	9000185032	Medicaid
MT	100032036	Medicaid
PA	102702417-0003	Medicaid
SC	7Z1143	Medicaid
ID	1750843314	Medicaid
OK	200566670B	Medicaid
NV	250011129	Medicaid