Provider Demographics
NPI:1023190428
Name:PHARMACISTS' HOME MEDICAL INC
Entity Type:Organization
Organization Name:PHARMACISTS' HOME MEDICAL INC
Other - Org Name:REMEDIES HOME OXYGEN & MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC./TREAS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-242-9300
Mailing Address - Street 1:25 MEDICAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4169
Mailing Address - Country:US
Mailing Address - Phone:806-242-9300
Mailing Address - Fax:806-242-9302
Practice Address - Street 1:709 N MAIN ST
Practice Address - Street 2:STE B
Practice Address - City:HEREFORD
Practice Address - State:TX
Practice Address - Zip Code:79045-5250
Practice Address - Country:US
Practice Address - Phone:806-363-2535
Practice Address - Fax:806-363-2570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0079701332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1160220002Medicare NSC