Organization
INTEGRATIVE PHARMACY SOLUTIONS, INC
Active
Organization
INTEGRATIVE PHARMACY SOLUTIONS, INC
Active
Other names
King's Pharmacy and Compounding Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANI DIBBINI (VP, PIC, AO)
(818) 970-4987
Entity
Organization
Contact information
Practice address
16205 SAND CANYON AVE, SUITE 105, IRVINE, CA 92618-3781
(949) 387-0780
(949) 387-0784
Mailing address
16205 SAND CANYON AVE, SUITE 105, IRVINE, CA 92618-3781
(949) 387-0780
(949) 387-0784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53835
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158251
PK
—
Enumeration date
12/31/2015
Last updated
11/29/2016
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