Provider Demographics
NPI:1316652159
Name:DRAGONFLY HOSPICE PHARMACY, LLC
Entity type:Organization
Organization Name:DRAGONFLY HOSPICE PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER, PIC
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:REGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-355-3775
Mailing Address - Street 1:100 PARK MANOR DR STE 202
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-1012
Mailing Address - Country:US
Mailing Address - Phone:855-391-2360
Mailing Address - Fax:877-938-3044
Practice Address - Street 1:100 PARK MANOR DR STE 202
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1012
Practice Address - Country:US
Practice Address - Phone:855-391-2360
Practice Address - Fax:877-938-3044
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRAGONFLY HOSPICE PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy