Provider Demographics
NPI:1437139201
Name:T.M.D.H., INC.
Entity Type:Organization
Organization Name:T.M.D.H., INC.
Other - Org Name:ARNOLD DRUG COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:803-240-9882
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:GASTON
Mailing Address - State:SC
Mailing Address - Zip Code:29053-0310
Mailing Address - Country:US
Mailing Address - Phone:706-778-4918
Mailing Address - Fax:706-776-2502
Practice Address - Street 1:639 IRVIN ST
Practice Address - Street 2:
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531
Practice Address - Country:US
Practice Address - Phone:706-778-4918
Practice Address - Fax:706-776-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BC3200X, 3336L0003X
GAPHRE006084333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1108439OtherNABP
GAPHRE010423OtherSTATE LICENSE
GA000260851BMedicaid
GA000260851AMedicaid