# INNOVATIVE PHARMACEUTICAL SOLUTIONS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Pharmaceutical Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790132280
- **Authorized official:** ELIZABETH MARTINEZ (PRESIDENT)
- **Authorized official phone:** (517) 980-9875

## Contact information

- **Practice address:** 2250 GENOA BUSINESS PARK DR STE 120A, SUITE 120-A, BRIGHTON, MI 48114-7372
- **Practice address phone:** (517) 980-9875
- **Mailing address:** 2250 GENOA BUSINESS PARK DR, SUITE 120-A, BRIGHTON, MI 48114-7371
- **Mailing address phone:** (517) 980-9875

## 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 | 5301010935 | MI | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 06/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159997 | PK | — |