Provider Demographics
NPI:1255600011
Name:PARAGON HEMOPHILIA SOLUTIONS
Entity type:Organization
Organization Name:PARAGON HEMOPHILIA SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:EMALYNN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-588-1075
Mailing Address - Street 1:17111 PRESTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1234
Mailing Address - Country:US
Mailing Address - Phone:972-588-1075
Mailing Address - Fax:972-588-1041
Practice Address - Street 1:818 US 31W BYP STE B
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2314
Practice Address - Country:US
Practice Address - Phone:888-588-1072
Practice Address - Fax:866-491-5888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARAGON HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-23
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP074793336H0001X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy