Provider Demographics
NPI:1104249044
Name:OPS INTERNATIONAL INCORPORATED
Entity type:Organization
Organization Name:OPS INTERNATIONAL INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOLEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-267-6468
Mailing Address - Street 1:6700 CONROY RD
Mailing Address - Street 2:STE 155
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3500
Mailing Address - Country:US
Mailing Address - Phone:321-319-0310
Mailing Address - Fax:407-673-1234
Practice Address - Street 1:6700 CONROY RD
Practice Address - Street 2:STE 155
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3500
Practice Address - Country:US
Practice Address - Phone:321-319-0310
Practice Address - Fax:407-673-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL273633336C0004X, 3336S0011X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy