MEDICARE: ADVANCED INFUSION SERVICES LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	02-1047250	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265436000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED INFUSION SERVICES LTD

Provider Business Mailing Address
First Line	:	160 OPPORTUNITY PKWY
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2211
Country	:	US
Telephone Number	:	330-972-3311
Fax Number	:	330-972-3312

Provider Business Practice Location Address
First Line	:	160 OPPORTUNITY PKWY
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2211
Country	:	US
Telephone Number	:	330-972-3311
Fax Number	:	330-972-3312

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KAREN L MULLEN
Credential	:
Telephone Number	:	330-745-1601

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/20/2013

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Directions to “ADVANCED INFUSION SERVICES LTD ” Practice Location

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