Provider Demographics
NPI:1114609401
Name:INNOVATIVE PHARMACY SOLUTIONS INC
Entity Type:Organization
Organization Name:INNOVATIVE PHARMACY SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/CFO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RANI
Authorized Official - Middle Name:
Authorized Official - Last Name:DIBBINI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:949-387-0780
Mailing Address - Street 1:17500 RED HILL AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7600
Mailing Address - Country:US
Mailing Address - Phone:949-387-0780
Mailing Address - Fax:949-387-0784
Practice Address - Street 1:17500 RED HILL AVE STE 250
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-7600
Practice Address - Country:US
Practice Address - Phone:949-387-0780
Practice Address - Fax:949-387-0784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy