Organization
IVEDCO, LLC
Active
Other names
KabaFusion TX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHAIL MASOOD PHARM. D. (PRESIDENT)
(800) 435-3020
Entity
Organization
Contact information
Practice address
3000 KELLWAY DR STE 110, CARROLLTON, TX 75006-3356
(800) 333-0660
(888) 837-2716
Mailing address
17777 CENTER COURT DR N, SUITE 550, CERRITOS, CA 90703-9320
(800) 435-3020
(562) 645-5396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100814810 A
—
OK
05
—
100814810 C
—
OK
05
—
1218679-05 / 1922069
—
TX
05
—
13352211
—
NM
05
—
150693
—
TX
Enumeration date
03/31/2006
Last updated
05/07/2024
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