Healthcare Provider Details

I. General information

NPI: 1124954912
Provider Name (Legal Business Name): THE INSTITUTIONAL PHARMACY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 OXMOOR RD STE 136
BIRMINGHAM AL
35209-5937
US

IV. Provider business mailing address

507 INDUSTRIAL BLVD
DUBLIN GA
31021-1714
US

V. Phone/Fax

Practice location:
  • Phone: 478-353-1579
  • Fax: 877-477-2499
Mailing address:
  • Phone: 478-353-1579
  • Fax: 877-477-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. JERRY BENT GAY JR.
Title or Position: CEO
Credential: RPH
Phone: 478-353-1579