Organization
IVATION PHARMACY LLC
Active
Other names
Ivation DTP
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NAMETH (EVP, CLOUD AND SPECIALTY PHARMACY)
(412) 266-5515
Entity
Organization
Contact information
Practice address
305 N HEATHERWILDE BLVD STE 220, PFLUGERVILLE, TX 78660-4192
(512) 549-8519
(866) 676-5890
Mailing address
305 N HEATHERWILDE BLVD STE 220, PFLUGERVILLE, TX 78660-4192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34351
BOARD OF PHARMACY
TX
Enumeration date
07/08/2022
Last updated
09/18/2025
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