Organization
INTERGRATED PHARMACEUTICAL SOLUTIONS LLC
Active
Other names
Bartow Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENOCH OFOSU PHARM.D, M.D. (PHARMACY MANAGER)
(863) 537-6694
Entity
Organization
Contact information
Practice address
1478 N WILSON AVE, BARTOW, FL 33830-3373
(863) 537-6694
(863) 537-6579
Mailing address
PO BOX 46216, TAMPA, FL 33646-0102
(863) 537-6694
(863) 537-6579
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25429
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004112700
—
FL
01
—
PH25429
PHARMACY LICENSE
FL
Enumeration date
08/14/2011
Last updated
04/12/2024
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