Provider Demographics
NPI:1275305641
Name:FLORENCE INFUSION SERVICES, LLC
Entity Type:Organization
Organization Name:FLORENCE INFUSION SERVICES, LLC
Other - Org Name:VITAL CARE OF FLORENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARROD
Authorized Official - Middle Name:B
Authorized Official - Last Name:TIPPINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-954-0010
Mailing Address - Street 1:161 DOZIER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4026
Mailing Address - Country:US
Mailing Address - Phone:843-954-0010
Mailing Address - Fax:843-954-0011
Practice Address - Street 1:161 DOZIER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4026
Practice Address - Country:US
Practice Address - Phone:843-954-0010
Practice Address - Fax:843-954-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy