Provider Demographics
NPI:1073342465
Name:MEDPLUS INFUSION PHARMACY, LLC
Entity type:Organization
Organization Name:MEDPLUS INFUSION PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-641-8091
Mailing Address - Street 1:1 EASTER CT STE G
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3294
Mailing Address - Country:US
Mailing Address - Phone:443-641-8090
Mailing Address - Fax:443-641-0990
Practice Address - Street 1:1 EASTER CT STE F
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3294
Practice Address - Country:US
Practice Address - Phone:443-641-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDPLUS INFUSION PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies