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IVATION PHARMACY LLC NPI 1457084253


NPI Information

NPI: 1457084253
Provider Name: IVATION PHARMACY LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
305 N HEATHERWILDE BLVD STE 220
PFLUGERVILLE, TX
ZIP 78660
Phone: (512) 549-8519
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IVATION PHARMACY LLC is a pharmacy in Pflugerville, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. IVATION PHARMACY LLC NPI is 1457084253. The provider is registered as an organization entity type.

The provider's business location address is:

305 N HEATHERWILDE BLVD STE 220
PFLUGERVILLE, TX
ZIP 78660-192
Phone: (512) 549-8519
Fax: (866) 676-5890

The provider's authorized official is Michael Nameth .
The authorized official title is Evp, Cloud And Specialty Pharmacy and has the following contact phone number (412) 266-5515.

The enumeration date for this NPI number is 7/8/2022 and was last updated on 7/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134351OTHERTEXASBOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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