Provider Demographics
NPI:1003473802
Name:IRWIN PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:IRWIN PHARMACY SERVICES, LLC
Other - Org Name:VITAL CARE OF LAS CRUCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:515-636-1570
Mailing Address - Street 1:1680 HICKORY LOOP STE A
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-6598
Mailing Address - Country:US
Mailing Address - Phone:575-636-1570
Mailing Address - Fax:877-636-1570
Practice Address - Street 1:1680 HICKORY LOOP STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-6598
Practice Address - Country:US
Practice Address - Phone:575-636-1570
Practice Address - Fax:877-636-1570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy