Provider Demographics
NPI:1952031536
Name:ONE INFUSION PHARMACY NC, LLC
Entity Type:Organization
Organization Name:ONE INFUSION PHARMACY NC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:FALERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-441-6900
Mailing Address - Street 1:3351 EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3935
Mailing Address - Country:US
Mailing Address - Phone:786-234-9095
Mailing Address - Fax:
Practice Address - Street 1:2117 ENERGY DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4340
Practice Address - Country:US
Practice Address - Phone:855-441-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy