Provider Demographics
NPI:1821220559
Name:INFU SYSTEM INC
Entity Type:Organization
Organization Name:INFU SYSTEM INC
Other - Org Name:INFUSYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CIRAULO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-962-9656
Mailing Address - Street 1:31700 RESEARCH PARK DR
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-4627
Mailing Address - Country:US
Mailing Address - Phone:800-962-9656
Mailing Address - Fax:248-658-6471
Practice Address - Street 1:31700 RESEARCH PARK DR
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-4627
Practice Address - Country:US
Practice Address - Phone:800-962-9656
Practice Address - Fax:248-658-6471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336M0002X
MI53010091593336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2373063OtherNCPDP PROVIDER IDENTIFICATION NUMBER