Provider Demographics
NPI:1437731098
Name:BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Other - Org Name:BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHAMD
Authorized Official - Phone:407-830-8820
Mailing Address - Street 1:376 NORTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5261
Mailing Address - Country:US
Mailing Address - Phone:407-830-8820
Mailing Address - Fax:
Practice Address - Street 1:13925 YALE AVE STE 145
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-2670
Practice Address - Country:US
Practice Address - Phone:949-654-7503
Practice Address - Fax:949-654-3942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy