Provider Demographics
NPI:1194430223
Name:ORSINI PHARMACEUTICAL SERVICES, LLC
Entity type:Organization
Organization Name:ORSINI PHARMACEUTICAL SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:TOM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:847-734-7373
Mailing Address - Street 1:1282 N WILSON RD
Mailing Address - Street 2:STE A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204
Mailing Address - Country:US
Mailing Address - Phone:800-410-8575
Mailing Address - Fax:847-725-8104
Practice Address - Street 1:1282 N WILSON RD
Practice Address - Street 2:STE A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204
Practice Address - Country:US
Practice Address - Phone:800-410-8575
Practice Address - Fax:847-725-8104
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORSINI PHARMACEUTICAL SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-23
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy