Organization
BOND PHARMACY INC
Active
Other names
ADVANCED INFUSION SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CASTELLANOS (CEO)
(601) 988-1700
Entity
Organization
Contact information
Practice address
623 HIGHLAND COLONY PKWY STE 100, RIDGELAND, MS 39157-6077
(601) 988-1700
(601) 988-1701
Mailing address
623 HIGHLAND COLONY PKWY STE 100, RIDGELAND, MS 39157-6077
(601) 988-1700
(601) 988-1701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
NP000010
PA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
04274/2.0
MS
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440837
—
MS
05
—
05275262
—
MS
01
—
2047110
PK
—
Enumeration date
09/12/2006
Last updated
11/02/2021
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