Provider Demographics
NPI:1467094995
Name:IPBS INC
Entity Type:Organization
Organization Name:IPBS INC
Other - Org Name:ST MARY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/CFO/SECRETARYDIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BESHOY
Authorized Official - Middle Name:ISAAC
Authorized Official - Last Name:GERGES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-960-4521
Mailing Address - Street 1:9917 TOPANGA CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3602
Mailing Address - Country:US
Mailing Address - Phone:818-960-4521
Mailing Address - Fax:818-960-4522
Practice Address - Street 1:9917 TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3602
Practice Address - Country:US
Practice Address - Phone:818-960-4521
Practice Address - Fax:818-960-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy