Provider Demographics
NPI:1376713354
Name:PHARMED L.P.
Entity Type:Organization
Organization Name:PHARMED L.P.
Other - Org Name:FAMILY CARE PHARMACY #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SAEID
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:972-596-6690
Mailing Address - Street 1:PO BOX 260329
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0329
Mailing Address - Country:US
Mailing Address - Phone:972-596-6690
Mailing Address - Fax:972-596-6696
Practice Address - Street 1:1306 TEASLEY LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7946
Practice Address - Country:US
Practice Address - Phone:940-484-5315
Practice Address - Fax:940-484-5971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16828332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX068226202Medicaid
TX144361Medicaid
TX1275554230OtherNPI
TX4595926OtherNCPDP