Provider Demographics
NPI:1699853564
Name:JET-IPS INC
Entity Type:Organization
Organization Name:JET-IPS INC
Other - Org Name:INSTITUTIONAL PHARMACY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:TRISTANI
Authorized Official - Suffix:
Authorized Official - Credentials:BS,PD
Authorized Official - Phone:410-838-0990
Mailing Address - Street 1:1510 CONOWINGO RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-1812
Mailing Address - Country:US
Mailing Address - Phone:410-838-0990
Mailing Address - Fax:410-836-8429
Practice Address - Street 1:1510 CONOWINGO RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-1812
Practice Address - Country:US
Practice Address - Phone:410-838-0990
Practice Address - Fax:410-836-8429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW0058333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy