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Organization
IVATION PHARMACY LLC
Active
Organization
IVATION PHARMACY LLC
Active
Other names
Ivation DTP
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NAMETH (EVP, CLOUD AND SPECIALTY PHARMACY)
(412) 266-5515
Entity
Organization
Contact information
Practice address
305 N HEATHERWILDE BLVD STE 220, PFLUGERVILLE, TX 78660-4192
(512) 549-8519
(866) 676-5890
Mailing address
305 N HEATHERWILDE BLVD STE 220, PFLUGERVILLE, TX 78660-4192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34351
BOARD OF PHARMACY
TX
Enumeration date
07/08/2022
Last updated
09/18/2025
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