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NPI Code Detail

MEDICARE: INFINITY PHARMACY, LLC

MEDICARE: INFINITY PHARMACY, 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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

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

General Provider Information

NPI Number : 1639560139
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITY PHARMACY, LLC
Provider Business Mailing Address
First Line : 2819 WESTERVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-4473
Country : US
Telephone Number : 614-591-3070
Fax Number : 614-591-3071
Provider Business Practice Location Address
First Line : 2819 WESTERVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-4473
Country : US
Telephone Number : 614-591-3070
Fax Number : 614-591-3071
Authorized Official
Title or Position : OWNER
Name : KWESI OWUSU
Credential :
Telephone Number : 240-584-1042
Provider Enumeration Date : 02/05/2015
Last Update Date : 10/22/2025

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Directions to “INFINITY PHARMACY, LLC ” Practice Location

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