Provider Demographics
NPI:1952738643
Name:INDEPENDENT PHARMACY SOLUTIONS
Entity Type:Organization
Organization Name:INDEPENDENT PHARMACY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-814-2355
Mailing Address - Street 1:6100 N SMOKERISE DR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-2772
Mailing Address - Country:US
Mailing Address - Phone:928-814-2355
Mailing Address - Fax:
Practice Address - Street 1:6100 N SMOKERISE DR
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-2772
Practice Address - Country:US
Practice Address - Phone:928-814-2355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS10529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty