# INNOVATIVE PHARMACY SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1740927342
- **Authorized official:** MR. RAJESH PATEL (OWNER/MEMBER)
- **Authorized official phone:** (248) 277-0932

## Contact information

- **Practice address:** 49676 MARTIN DR, WIXOM, MI 48393-2400
- **Practice address phone:** (248) 277-0932
- **Mailing address:** 47448 PONTIAC TRL STE 370, WIXOM, MI 48393-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 09/01/2022