Healthcare Provider Details

I. General information

NPI: 1194533778
Provider Name (Legal Business Name): INFUSION SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 06/05/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32129 WEYERHAEUSER WAY S STE 100
FEDERAL WAY WA
98001-9801
US

IV. Provider business mailing address

477 W HORTON RD
BELLINGHAM WA
98226-1205
US

V. Phone/Fax

Practice location:
  • Phone: 360-933-4892
  • Fax: 360-933-1197
Mailing address:
  • Phone: 360-933-4892
  • Fax: 360-933-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER M VILLANUEVA
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 360-933-4892