Provider Demographics
NPI:1407076003
Name:IMS CORPORATION
Entity Type:Organization
Organization Name:IMS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:J
Authorized Official - Last Name:VAN GASSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-663-3920
Mailing Address - Street 1:483 LITTLE LAKE DR
Mailing Address - Street 2:STE. 200
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6221
Mailing Address - Country:US
Mailing Address - Phone:734-663-3920
Mailing Address - Fax:734-663-3326
Practice Address - Street 1:483 LITTLE LAKE DR
Practice Address - Street 2:STE. 200
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-6221
Practice Address - Country:US
Practice Address - Phone:734-663-3920
Practice Address - Fax:734-663-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53060003053336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy