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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