Provider Demographics
NPI:1063266153
Name:CENCORA PATIENT SERVICES, LLC
Entity type:Organization
Organization Name:CENCORA PATIENT SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR OF PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:EILER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:469-365-8338
Mailing Address - Street 1:5025 PLANO PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010
Mailing Address - Country:US
Mailing Address - Phone:469-365-8245
Mailing Address - Fax:469-365-8274
Practice Address - Street 1:345 INTERNATIONAL BLVD
Practice Address - Street 2:STE 200
Practice Address - City:BROOKS
Practice Address - State:KY
Practice Address - Zip Code:40109
Practice Address - Country:US
Practice Address - Phone:855-437-2370
Practice Address - Fax:877-398-4165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy