Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medvantx, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1417090358

Medvantx, Inc is a Non-Pharmacy Dispensing Site in Erie, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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

3330 Peach St Ste 107
Erie, PA 16508-2769
Phone: (814) 877-5500
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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 MD053809L (PA)

Record details

NPI number1417090358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5810 Nancy Ridge Dr, Suite 100, San Diego, CA 92121-2834

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