Organization
SPECIALTY INFUSION PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LOWENBERG (PRESIDENT)
(888) 773-7376
Entity
Organization
Contact information
Practice address
9568 ARCHIBALD AVE, SUITE A, RANCHO CUCAMONGA, CA 91730-5710
(800) 331-2060
Mailing address
250 TECHNOLOGY PARK, LEGAL DEPT, LAKE MARY, FL 32746-7115
(407) 804-6700
(407) 804-5647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY44017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA466270
—
CA
Enumeration date
08/04/2005
Last updated
08/22/2020
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