| Entity Name: | INTERGRATED PHARMACEUTICAL SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jul 2010 (15 years ago) |
| Document Number: | L10000077772 |
| FEI/EIN Number | 27-3141789 |
| Address: | 10106 DEERCLIFF DR., STE 02, TAMPA, FL 33647 |
| Mail Address: | IPS LLC, P.O. BOX 46216, TAMPA, FL 33646 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013296649 | 2011-08-14 | 2024-04-12 | PO BOX 46216, TAMPA, FL, 336460102, US | 1478 N WILSON AVE, BARTOW, FL, 338303373, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-537-6694 |
| Fax | 8635376579 |
Authorized person
| Name | DR. ENOCH OFOSU |
| Role | PHARMACY MANAGER |
| Phone | 8635376694 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25429 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004112700 |
| State | FL |
| Issuer | PHARMACY LICENSE |
| Number | PH25429 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OFOSU, ENOCH | Agent | 10106 DEERCLIFF DR., STE 02, TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| OFOSU, ENOCH | Managing Member | 10106 DEERCLIFF DR., TAMPA, FL 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000042607 | BARTOW PHARMACY | ACTIVE | 2021-03-28 | 2026-12-31 | No data | PO BOX 46216, TAMPA, FL, 33646 |
| G11000120996 | BARTOW PHARMACY & MEDICAL SUPPLY | EXPIRED | 2011-12-13 | 2016-12-31 | No data | P.O. BOX 46216, TAMPA, FL, 33646 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-04-06 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
