Organization
INNOVATIVE INFUSION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIEN NICHOLAS BOYD (CO-OWNER)
(316) 613-8942
Entity
Organization
Contact information
Practice address
505 S BROADWAY AVE, #114, WICHITA, KS 67202-3900
(316) 200-5605
(316) 272-9141
Mailing address
505 S BROADWAY AVE, #114, WICHITA, KS 67202-3900
(316) 613-8942
(316) 272-9141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
2-13252
KS
Other
Enumeration date
03/31/2016
Last updated
07/08/2025
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