OrganizationActive
Innovative Pharmacy Services, LLC
NPI 1902590557 · Specialty Pharmacy · Overland, MO
Provider details
- NPI number
- 1902590557
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Parent organization
- Innovative Pharmacy Services, LLC
- Organization subpart
- Yes
- Authorized official
- Amy Mulderry, President(972) 588-1000
Specialties & taxonomies
Suppliers
Practice location
1990 Innerbelt Business Center Dr
Overland, MO 63114-5760
Phone: (314) 876-0002
Approximate (ZIP-level) locationGet directions
Mailing address
1990 Innerbelt Business Center Dr
Overland, MO 63114-5760
Other names (DBA / former)
- Doing business as
- Paragon Infusion Pharmacies
- Doing business as
- Paragon Infusion Pharmacies
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.