Provider Demographics
NPI:1326098716
Name:ARJ INFUSION SERVICES, LLC
Entity Type:Organization
Organization Name:ARJ INFUSION SERVICES, LLC
Other - Org Name:ARJ INFUSION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-451-8804
Mailing Address - Street 1:7930 MARSHALL DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1562
Mailing Address - Country:US
Mailing Address - Phone:913-451-8804
Mailing Address - Fax:913-451-8914
Practice Address - Street 1:4405 MERAMEC BOTTOM RD STE C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-2566
Practice Address - Country:US
Practice Address - Phone:866-451-8804
Practice Address - Fax:913-451-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 3336S0011X
MO20050353983336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2049272OtherPK