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NPI Code Detail

MEDICARE: INSTITUTIONAL PHARMACY SOLUTIONS LLC

MEDICARE: INSTITUTIONAL PHARMACY SOLUTIONS LLC
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
1333600000XPharmacyPH02706NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12131539OTHERPK

General Provider Information

NPI Number : 1629376199
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTIONAL PHARMACY SOLUTIONS LLC
Provider Business Mailing Address
First Line : 3480 EASTERN BLVD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-1700
Country : US
Telephone Number : 334-819-4500
Fax Number : 334-819-4520
Provider Business Practice Location Address
First Line : 5900 W ROCHELLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3304
Country : US
Telephone Number : 702-364-1111
Fax Number :
Authorized Official
Title or Position : VP OF HUMAN RESOURCES
Name : JANUARY GREEN
Credential :
Telephone Number : 334-819-4500
Provider Enumeration Date : 03/08/2011
Last Update Date : 08/03/2016

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Directions to “INSTITUTIONAL PHARMACY SOLUTIONS LLC ” Practice Location

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