Provider Demographics
NPI:1518667120
Name:INTEGRATION PARTNERS LLC
Entity Type:Organization
Organization Name:INTEGRATION PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMD
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DEARTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-989-0077
Mailing Address - Street 1:535 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-2536
Mailing Address - Country:US
Mailing Address - Phone:731-989-0077
Mailing Address - Fax:731-989-0076
Practice Address - Street 1:535 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-2536
Practice Address - Country:US
Practice Address - Phone:731-989-0077
Practice Address - Fax:731-989-0076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRATION PARTNERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy