Provider Demographics
NPI:1528713815
Name:INTRASYNC SOLUTIONS, INC.
Entity type:Organization
Organization Name:INTRASYNC SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:330-725-2340
Mailing Address - Street 1:523 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2312
Mailing Address - Country:US
Mailing Address - Phone:888-995-1613
Mailing Address - Fax:888-456-8674
Practice Address - Street 1:523 MOORE RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-2312
Practice Address - Country:US
Practice Address - Phone:888-995-1613
Practice Address - Fax:888-456-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy