Fayette Physician Network Inc

Organization Non-Pharmacy Dispensing Site · NPI 1154714368

Fayette Physician Network Inc is a Non-Pharmacy Dispensing Site in Connellsville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in: PA
In the registry since: 2015

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

224 Memorial Blvd
Connellsville, PA 15425-2654
Phone: (724) 626-7335

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary)	Taxonomy 332900000X · Licence OS010452L (PA)

Record details

NPI number	1154714368
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Medvantx, Inc
Authorized official	Kenny Heine — Vp Of Operations · (858) 964-1506
Other names	Fayette Physician Network- Connelsville
NPI enumerated	March 12, 2015
Last updated in NPPES	March 12, 2015
Mailing address	5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705