Evernorth Direct Health LLC

NPI #1477983278 in Roanoke, Alabama

Provider Information

NPI Number
1477983278
Entity Type
Organization
Organization Name
Evernorth Direct Health LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Nov 15, 2013
Last Updated
May 3, 2021

Practice Location

Address
1026 LAFAYETTE HWY
State
Alabama
ZIP Code
36274-7250
Phone
(334) 863-7410

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 964-1506

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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