Provider Demographics
NPI:1275632127
Name:INJECTABLE THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:INJECTABLE THERAPY SERVICES, INC.
Other - Org Name:BIOMATRIX SPECIALTY PHARMACY CA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PRESIDENT, DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-385-7322
Mailing Address - Street 1:7959 DEERING AVE
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-5009
Mailing Address - Country:US
Mailing Address - Phone:800-404-1963
Mailing Address - Fax:800-404-4595
Practice Address - Street 1:16625 ARMINTA ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-1611
Practice Address - Country:US
Practice Address - Phone:800-404-1963
Practice Address - Fax:800-404-4595
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOLOGICTX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-21
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3148221OtherNCPDP
CAPHA449830Medicaid