Organization
BIOCARE INFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGSLEY IWUDIBIA PHARMD (OWNER)
(508) 315-2769
Entity
Organization
Contact information
Practice address
371 E PACES FERRY RD NE STE 125, ATLANTA, GA 30305-2372
(508) 315-2769
Mailing address
371 E PACES FERRY RD NE STE 100, ATLANTA, GA 30305-3292
(470) 377-6400
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
11/10/2022
Last updated
02/01/2024
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