Provider Demographics
NPI:1275180507
Name:TOUCHSTONE IV INC
Entity Type:Organization
Organization Name:TOUCHSTONE IV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-925-1010
Mailing Address - Street 1:9101 LAKEVIEW PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4574
Mailing Address - Country:US
Mailing Address - Phone:469-925-1010
Mailing Address - Fax:469-367-0341
Practice Address - Street 1:9101 LAKEVIEW PKWY STE 500
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4574
Practice Address - Country:US
Practice Address - Phone:469-925-1010
Practice Address - Fax:877-257-0305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy