# BIOCARE INFUSION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720796402
- **Authorized official:** DR. KINGSLEY IWUDIBIA PHARMD (OWNER)
- **Authorized official phone:** (508) 315-2769

## Contact information

- **Practice address:** 371 E PACES FERRY RD NE STE 125, ATLANTA, GA 30305-2372
- **Practice address phone:** (508) 315-2769
- **Mailing address:** 371 E PACES FERRY RD NE STE 100, ATLANTA, GA 30305-3292
- **Mailing address phone:** (470) 377-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/10/2022
- **Last updated:** 02/01/2024
