Provider Demographics
NPI:1467572784
Name:THERAPEUTIC WAREHOUSE, INC.
Entity Type:Organization
Organization Name:THERAPEUTIC WAREHOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:FUCHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-396-9904
Mailing Address - Street 1:6820 ROSWELL RD NE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2403
Mailing Address - Country:US
Mailing Address - Phone:770-396-9904
Mailing Address - Fax:770-396-9902
Practice Address - Street 1:6820 ROSWELL RD NE
Practice Address - Street 2:SUITE 1A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-2403
Practice Address - Country:US
Practice Address - Phone:770-396-9904
Practice Address - Fax:770-396-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA42145332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies