Provider Demographics
NPI:1215588827
Name:REGENCY IHS PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:REGENCY IHS PHARMACY SERVICES LLC
Other - Org Name:SENIOR SOLUTIONS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/PIC
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:KRUPP
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:512-695-7941
Mailing Address - Street 1:555 ROUND ROCK WEST DR STE F-300
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5052
Mailing Address - Country:US
Mailing Address - Phone:737-242-7100
Mailing Address - Fax:737-242-7170
Practice Address - Street 1:555 ROUND ROCK WEST DR STE F-300
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5052
Practice Address - Country:US
Practice Address - Phone:737-242-7100
Practice Address - Fax:737-242-7170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy