Provider Demographics
NPI:1114466182
Name:INFINITE PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:INFINITE PHARMACY SERVICES, LLC
Other - Org Name:MEADOWBROOK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-613-0043
Mailing Address - Street 1:25500 MEADOWBROOK RD STE 160
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1881
Mailing Address - Country:US
Mailing Address - Phone:248-216-0758
Mailing Address - Fax:248-468-4370
Practice Address - Street 1:25500 MEADOWBROOK RD STE 160
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1881
Practice Address - Country:US
Practice Address - Phone:248-216-0758
Practice Address - Fax:248-468-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010111113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy