Provider Demographics
NPI:1740665660
Name:OMNI PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:OMNI PHARMACY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-222-5333
Mailing Address - Street 1:375 E ELM ST STE 110B
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1973
Mailing Address - Country:US
Mailing Address - Phone:484-222-5333
Mailing Address - Fax:
Practice Address - Street 1:375 E ELM ST STE 110B
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1973
Practice Address - Country:US
Practice Address - Phone:484-222-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy