Organization
INFUSION SERVICES & SPECIALTY PHARMACY
Active
Other names
ISRX Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA LYN PROCTOR PHAMD (PHARMACIST IN CHARGE)
(817) 937-0159
Entity
Organization
Contact information
Practice address
1724 EAST BROAD ST., SUITE 136, MANSFIELD, TX 76063
(817) 453-5022
(817) 453-5027
Mailing address
1724 EAST BROAD ST., SUITE 136, MANSFIELD, TX 76063
(817) 453-5022
(817) 453-5027
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
25430
TX
163WI0500X
Infusion Therapy Registered Nurse
25430
TX
1835G0303X
Geriatric Pharmacist
25430
TX
1835N1003X
Nutrition Support Pharmacist
25430
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
25430
TX
1835P1200X
Pharmacotherapy Pharmacist
25430
TX
1835X0200X
Oncology Pharmacist
25430
TX
261QI0500X
Infusion Therapy Clinic/Center
Primary
25430
TX
Other
Enumeration date
03/02/2007
Last updated
04/16/2021
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