Basic Information
| Provider Information | |||||||||
| NPI: | 1992084941 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INSTITUTIONAL PHARMACY SOLUTIONS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 INTERSTATE PARK DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361095421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3348164500 | ||||||||
| FaxNumber: | 3348194511 | ||||||||
| Practice Location | |||||||||
| Address1: | 6350 S MAPLE AVE | ||||||||
| Address2: | |||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852832857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4803455400 | ||||||||
| FaxNumber: | 8449628687 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2011 | ||||||||
| LastUpdateDate: | 08/09/2011 | ||||||||
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| AuthorizedOfficialLastName: | GREEN | ||||||||
| AuthorizedOfficialFirstName: | JANUARY | ||||||||
| AuthorizedOfficialMiddleName: | MILLER | ||||||||
| AuthorizedOfficialTitleorPosition: | VP, BUSINESS OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 3348164500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336I0012X | Y005369 | AZ | Y | Suppliers | Pharmacy | Institutional Pharmacy |
No ID Information.