Healthcare Provider Details

I. General information

NPI: 1992587935
Provider Name (Legal Business Name): BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 S 79TH ST STE 70
CHANDLER AZ
85226-1742
US

IV. Provider business mailing address

3200 LAKE EMMA RD UNIT 1000
LAKE MARY FL
32746-3358
US

V. Phone/Fax

Practice location:
  • Phone: 888-292-0744
  • Fax: 800-269-5493
Mailing address:
  • Phone: 888-292-0744
  • Fax: 800-269-5493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS DANIEL MAROULIS
Title or Position: VICE PRESIDENT
Credential: PHARMD
Phone: 689-263-5021