Provider Demographics
NPI:1821425513
Name:PENTEC HEALTH, INC.
Entity Type:Organization
Organization Name:PENTEC HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-223-4376
Mailing Address - Street 1:4 CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19061-3132
Mailing Address - Country:US
Mailing Address - Phone:800-223-4376
Mailing Address - Fax:
Practice Address - Street 1:120 FORBES BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-1150
Practice Address - Country:US
Practice Address - Phone:855-217-5541
Practice Address - Fax:508-261-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADS899133336H0001X
3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy