Healthcare Provider Details

I. General information

NPI: 1386342822
Provider Name (Legal Business Name): INTEGRATED RX SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 E BETHANY HOME RD STE B110
PHOENIX AZ
85014-2151
US

IV. Provider business mailing address

727 E BETHANY HOME RD STE B110
PHOENIX AZ
85014-2151
US

V. Phone/Fax

Practice location:
  • Phone: 480-479-1258
  • Fax: 623-875-0777
Mailing address:
  • Phone: 480-479-1258
  • Fax: 623-875-0777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: LOUY M AL ATTEELI
Title or Position: MANAGER
Credential: PHARMACIST
Phone: 480-479-1258