<Unavail>

LBN: Deramed Ltc Pharmacy
<Unavail> is an health care organization with primary practice located at 1001 Matlock Rd Ste 105 , Mansfield TX 76063-3443. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Deramed Ltc Pharmacy can be contacted via phone (817) 592-3636, or through Efunogbon, Aderonke via phone (817) 592-3636.

Contact Information

Primary practice address
1001 Matlock Rd Ste 105 Mansfield TX 76063-3443
Phone: (817) 592-3636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Efunogbon, Aderonke
Phone: (817) 592-3636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1801414933
LBN Legal business name Deramed Ltc Pharmacy
DBA Doing business as <Unavail>
Authorized official Efunogbon, Aderonke
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2020
Last updated May 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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