MEDICARE: I H S ACQUISTION XXX, INC

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	PH01751	NV

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	:	1881693646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I H S ACQUISTION XXX, INC

Provider Business Mailing Address
First Line	:	309 HENDERSON DR
Second Line	:
City	:	SHARON HILL
State	:	PA
Zip	:	19079-1034
Country	:	US
Telephone Number	:	800-400-9549
Fax Number	:	610-586-5509

Provider Business Practice Location Address
First Line	:	3110 POLARIS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8359
Country	:	US
Telephone Number	:	702-876-0056
Fax Number	:	702-876-4559

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VACANT VACANT
Credential	:
Telephone Number	:	800-400-9549

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	08/22/2020

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Directions to “I H S ACQUISTION XXX, INC ” Practice Location

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