EXECUTIVE INFUSION SERVICES LLC NPI 1245591338

NPI Information

NPI: 1245591338
Provider Name: EXECUTIVE INFUSION SERVICES LLC

Doing Business As: EXECUTIVE INFUSION SERVICES

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
17000 EXECUTIVE PLAZA DR
SUITE 201
DEARBORN, MI
ZIP 48126
Phone: (313) 982-3220
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EXECUTIVE INFUSION SERVICES LLC is a specialty pharmacy pharmacy in Dearborn, MI. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. EXECUTIVE INFUSION SERVICES LLC NPI is 1245591338. The provider is registered as an organization entity type.
The provider Is Doing Business As Executive Infusion Services.

The provider's business location address is:

17000 EXECUTIVE PLAZA DR
SUITE 201
DEARBORN, MI
ZIP 48126-793
Phone: (313) 982-3220
Fax: (313) 982-3221

The provider's authorized official is Aiman Abueida .
The authorized official title is Owner and has the following contact phone number (313) 523-5334.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 8/18/2022.

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
1	251F00000X	Home Infusion				No
2	261QI0500X	Clinic/Center	Infusion Therapy			No
3	332B00000X	Durable Medical Equipment & Medical Supplies				No
4	333600000X	Pharmacy				No
5	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
6	3336C0004X	Pharmacy	Compounding Pharmacy			No
7	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	5301010096	MICHIGAN	No
8	3336S0011X	Pharmacy	Specialty Pharmacy			Yes

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
1	2135839	OTHER		PK

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

NPI Synchronization or Removal

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