Organization
INNOVATIVE PHARMACY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MULDERRY (PRESIDENT)
(972) 588-1000
Entity
Organization
Contact information
Practice address
3033 W PRESIDENT GEORGE BUSH HWY STE 100, PLANO, TX 75075-5752
(210) 347-7459
Mailing address
3033 W PRESIDENT GEORGE BUSH HWY STE 100, PLANO, TX 75075-5752
(210) 347-7459
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/01/2022
Last updated
11/12/2024
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