MEDICARE: IV STAT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	3336S0011X	Specialty Pharmacy

General Provider Information

NPI Number	:	1073025193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IV STAT INC

Provider Business Mailing Address
First Line	:	533 EGLIN PKWY NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-2829
Country	:	US
Telephone Number	:	850-226-8162
Fax Number	:	850-226-8485

Provider Business Practice Location Address
First Line	:	533 EGLIN PKWY NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-2829
Country	:	US
Telephone Number	:	850-226-8162
Fax Number	:	850-226-8485

Authorized Official
Title or Position	:	OWNER
Name	:	TRACY LYNN MCMORROW
Credential	:
Telephone Number	:	852-226-8162

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	01/11/2023

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Directions to “IV STAT INC ” Practice Location

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