Deramed Ltc Pharmacy

NPI #1801414933 in Mansfield, Texas

Provider Information

NPI Number
1801414933
Entity Type
Organization
Organization Name
Deramed Ltc Pharmacy
Subpart
Yes (part of a larger organization)
Parent Organization
DERHANN CO. LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jul 6, 2020
Last Updated
May 3, 2024

Practice Location

Address
1001 MATLOCK RD STE 105
State
Texas
ZIP Code
76063-3443
Phone
(817) 592-3636

Authorized Official

Name
ADERONKE EFUNOGBON
Title
DIRECTOR
Phone
(817) 592-3636

Specialties & Taxonomy Codes

Specialty
Pharmacy - Specialty PharmacySpecialty Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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