OrganizationActive
Family Medical Care of Lawrence County
NPI 1063554699 · Non-Pharmacy Dispensing Site · New Wilmington, PA
Provider details
- NPI number
- 1063554699
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Authorized official
- Kenny Heine, Director of Operations
- License
- MD426144 (PA)
Practice location
150 N New Castle St
New Wilmington, PA 16142-1019
Phone: (724) 946-3564
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2012-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.