Organization
INFUSERV CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE DRAKEFORD (DIRECTOR, CFO)
(540) 368-5555
Entity
Organization
Contact information
Practice address
601 JEFFERSON DAVIS HWY, SUITE 201, FREDERICKSBURG, VA 22401-4564
(540) 368-5555
(540) 368-5557
Mailing address
601 JEFFERSON DAVIS HWY, SUITE 201, FREDERICKSBURG, VA 22401-4564
(540) 368-5555
(540) 368-5557
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
PHRE010044
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548629447
—
VA
Enumeration date
05/03/2016
Last updated
05/03/2016
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