Organization
INTEGRATED PHARMACY, LLC
Active
Other names
Integrated Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KURT BELLUOMINI (DIRECTOR OF FINANCE)
(559) 476-8000
Entity
Organization
Contact information
Practice address
516 DENVER ST, SUITE 200, WICHITA FALLS, TX 76301-2110
(866) 499-1138
Mailing address
7815 N PALM AVE, SUITE 400, FRESNO, CA 93711-5530
(559) 476-8000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30707
TX
3336L0003X
Long Term Care Pharmacy
30707
TX
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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