Organization
INSTITUTIONAL PRESCRIPTION SERVICES INC
Active
Other names
I P S INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DAVID SUSA (PRESIDENT)
(330) 399-2771
Entity
Organization
Contact information
Practice address
3709 YOUNGSTOWN RD SE, WARREN, OH 44484-2834
(330) 399-2771
(330) 399-4685
Mailing address
3709 YOUNGSTOWN RD SE, WARREN, OH 44484-2834
(330) 399-2771
(330) 399-4685
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
020366000
OH
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521724
—
OH
01
—
2076117
PK
—
Enumeration date
06/19/2006
Last updated
11/26/2019
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