Provider Demographics
NPI:1033151600
Name:T MED PRODUCTS INC
Entity Type:Organization
Organization Name:T MED PRODUCTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TROILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-345-2555
Mailing Address - Street 1:1946 S DOBSON RD
Mailing Address - Street 2:SUITE 3 - 5
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-5659
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1946 S DOBSON RD
Practice Address - Street 2:SUITE 3 - 5
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5659
Practice Address - Country:US
Practice Address - Phone:480-345-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY03731333600000X
3336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0316782OtherOTHER ID NUMBER-COMMERCIAL NUMBER
AZ450875Medicaid
AZ4826460001Medicare NSC