Organization
INTEGRATED HEALTH SERVICES
Active
Other names
FOREMOST CLINICAL PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN M STROCKER (CEO)
(562) 408-1173
Entity
Organization
Contact information
Practice address
5584 N PARAMOUNT BLVD, 101, LONG BEACH, CA 90805-5133
(562) 408-1173
(562) 408-3075
Mailing address
5584 N PARAMOUNT BLVD, 101, LONG BEACH, CA 90805-5133
(562) 408-1173
(562) 408-3075
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
PHY46298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003739
BLUE CROSS CA PROV #
CA
05
—
PHA462980
—
CA
01
—
ZZZ45652Z
BLUE SHIELD OF CA. PROV #
CA
Enumeration date
08/13/2006
Last updated
08/22/2020
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