| NPI | 1902273980 |
|---|---|
| Former Legal Business Name | IPS SPECIALTY, LLC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BRYAN SMOCK CEO / Manager 214-765-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 30159) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2024-05-20 |