Provider Demographics
NPI:1700427002
Name:ALLEGHENY HEALTH NETWORK HOME INFUSION LLC
Entity Type:Organization
Organization Name:ALLEGHENY HEALTH NETWORK HOME INFUSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUZAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-547-2407
Mailing Address - Street 1:1305 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3036
Mailing Address - Country:US
Mailing Address - Phone:814-547-2407
Mailing Address - Fax:
Practice Address - Street 1:311 23RD STREET EXT STE 500
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:PA
Practice Address - Zip Code:15215-2821
Practice Address - Country:US
Practice Address - Phone:412-967-9399
Practice Address - Fax:888-909-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007613480006Medicaid