Provider Demographics
NPI:1609691039
Name:INTERGRATED PHARMACEUTICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:INTERGRATED PHARMACEUTICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:ENOCH
Authorized Official - Middle Name:A
Authorized Official - Last Name:OFOSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHARMD
Authorized Official - Phone:863-537-6694
Mailing Address - Street 1:PO BOX 46216
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33646-0102
Mailing Address - Country:US
Mailing Address - Phone:863-537-6694
Mailing Address - Fax:863-537-6579
Practice Address - Street 1:1478 N WILSON AVE
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-3373
Practice Address - Country:US
Practice Address - Phone:863-537-6694
Practice Address - Fax:863-537-6579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty