Organization · NPI-2
Integrated Health Solutions LLC
Pharmacy, Managed Care Organization Pharmacy · Mableton, GA
NPI number1316465859
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1316465859
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Health Solutions LLC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336M0003X | Pharmacy, Managed Care Organization Pharmacy | – | – | Yes |
Practice location
1284 Glandor Ct SeMableton, GA 30126-2755
Phone 678-576-4708
Mailing address
1284 Glandor Ct SeMableton, GA 30126-2755
Phone 678-576-4708
Authorized official
Chibugo Ejisoby-Nwosu
Pharmacist Consultant/ Director
6785764708
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