Healthcare Provider Details

I. General information

NPI: 1275632127
Provider Name (Legal Business Name): INJECTABLE THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 04/06/2024
Certification Date: 04/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16625 ARMINTA ST
VAN NUYS CA
91406-1611
US

IV. Provider business mailing address

7959 DEERING AVE
CANOGA PARK CA
91304-5009
US

V. Phone/Fax

Practice location:
  • Phone: 800-404-1963
  • Fax: 800-404-4595
Mailing address:
  • Phone: 800-404-1963
  • Fax: 800-404-4595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATHEE M KRAMM
Title or Position: CEO, PRESIDENT, DIRECTOR
Credential:
Phone: 954-385-7322