Provider Demographics
NPI:1326563040
Name:HERTD, INC
Entity Type:Organization
Organization Name:HERTD, INC
Other - Org Name:LOYALTY PHARMACY 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOU
Authorized Official - Middle Name:
Authorized Official - Last Name:HER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-769-0658
Mailing Address - Street 1:2396 RIVER ROCK DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8215
Mailing Address - Country:US
Mailing Address - Phone:1209-769-0658
Mailing Address - Fax:
Practice Address - Street 1:16385 SCHENDEL AVE STE K
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:CA
Practice Address - Zip Code:95315-9476
Practice Address - Country:US
Practice Address - Phone:209-600-4417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy