Provider Demographics
NPI:1770528994
Name:PENTEC HEALTH INC
Entity type:Organization
Organization Name:PENTEC HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-494-8700
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:610-494-8700
Mailing Address - Fax:610-494-7328
Practice Address - Street 1:4 CREEK PKWY
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19061-3132
Practice Address - Country:US
Practice Address - Phone:610-494-8700
Practice Address - Fax:610-494-7328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 332B00000X, 332BC3200X, 332BP3500X, 333600000X, 3336C0004X, 3336S0011X, 335G00000X
PAPP413743L3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No335G00000XSuppliersMedical Foods Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084931OtherPK
PA001093247001Medicaid
0167270001Medicare NSC