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Executive Infusion Services Llc
Home Infusion Therapy Pharmacy in Grand Blank, Michigan
NPI 1548712979

Executive Infusion Services Llc is a Home Infusion Therapy Pharmacy based in Dearborn, MI and is specialized in Home Infusion Therapy Pharmacy. Executive Infusion Services Llc practices in Grand Blank, MI. The NPI Number for Executive Infusion Services Llc is 1548712979 and holds a License No. (Michigan).

The current practice location address for Executive Infusion Services Llc is 12821 D-13 S. Saqinaw St, Grand Blank, MI and can be reached out via phone at 313-982-3220 and via fax at 313-982-3221.

Location: 12821 D-13 S. Saqinaw St, Grand Blank, MI, 48126-2793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548712979
Provider Name
Executive Infusion Services Llc
Credential
Provider Entity Type
Organization
Address
12821 D-13 S. Saqinaw St, Grand Blank, MI, 48126-2793
Phone Number
313-982-3220
Fax Number
313-982-3221
Provider Enumeration Date
11/02/2016
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2165926 01 PK
institution
Provider Business Practice Location Address Details
Address
12821 D-13 S. Saqinaw St
City
Grand Blank
State
Michigan
Zip
48439
Phone Number
313-982-3220
Fax Number
313-982-3221
person
Provider Business Mailing Address Details
Address
12821 D-13 S. Saqinaw St
City
Grand Blank
State
Michigan
Zip
48439
Phone Number
313-982-3220
Fax Number
313-982-3221
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
5301010096 (Michigan)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
()
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
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