Provider Demographics
NPI:1154681286
Name:TRANSDERMAL HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRANSDERMAL HEALTH SOLUTIONS LLC
Other - Org Name:DERMATRAN HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MGR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-675-5240
Mailing Address - Street 1:PO BOX 108
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30162-0108
Mailing Address - Country:US
Mailing Address - Phone:855-675-5240
Mailing Address - Fax:844-265-1995
Practice Address - Street 1:2700 STANLEY GAULT PKWY STE 103
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-5133
Practice Address - Country:US
Practice Address - Phone:502-254-1024
Practice Address - Fax:844-265-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP076133336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134905OtherPK