Provider Demographics
NPI:1073025193
Name:IV STAT INC
Entity Type:Organization
Organization Name:IV STAT INC
Other - Org Name:SPECIALTY PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCMORROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:852-226-8162
Mailing Address - Street 1:533 EGLIN PKWY NE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-2829
Mailing Address - Country:US
Mailing Address - Phone:850-226-8162
Mailing Address - Fax:850-226-8485
Practice Address - Street 1:533 EGLIN PKWY NE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-2829
Practice Address - Country:US
Practice Address - Phone:850-226-8162
Practice Address - Fax:850-226-8485
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IV STAT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-30
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy