Organization
SISU HEALTHCARE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS E ULM (PRESIDENT)
(702) 577-1617
Entity
Organization
Contact information
Practice address
914 S 52ND ST STE 110, TEMPE, AZ 85281-9500
(480) 999-4488
(480) 999-4488
Mailing address
914 S 52ND ST STE 110, TEMPE, AZ 85281-9500
(480) 999-4488
(480) 999-4488
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/09/2019
Last updated
07/14/2021
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