Organization
ADVANCED INFUSION SYSTEMS, INC.
Active
Parent organization
PHARMERICA CORPORATION
Other names
Advanced Infusion Systems
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMERICA CORPORATION
Authorized official
MR. THOMAS A. CANERIS (VICE PRESIDENT)
(502) 627-7100
Entity
Organization
Contact information
Practice address
145 E DANA ST, SUITE A, MOUNTAIN VIEW, CA 94041-1507
(650) 961-6355
(650) 969-5653
Mailing address
3802 CORPOREX PARK DR, STE 200, TAMPA, FL 33619-1125
(813) 318-6039
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY 48702
CA
333600000X
Pharmacy
Primary
PHY 48702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003819194
—
CA
05
—
PHA406770
—
CA
Enumeration date
05/23/2005
Last updated
01/18/2013
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