Provider Demographics
NPI:1588800577
Name:INTEGRITY PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:INTEGRITY PHARMACY SERVICES LLC
Other - Org Name:INTEGRITY PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CANERIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-627-7100
Mailing Address - Street 1:45 SOUTH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2237
Mailing Address - Country:US
Mailing Address - Phone:508-544-9822
Mailing Address - Fax:508-544-9825
Practice Address - Street 1:45 SOUTH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2237
Practice Address - Country:US
Practice Address - Phone:508-544-9822
Practice Address - Fax:508-544-9825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2242612OtherNCPDP PROVIDER IDENTIFICATION NUMBER