Provider Demographics
NPI:1588031736
Name:MAIL MY MEDS
Entity Type:Organization
Organization Name:MAIL MY MEDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-284-3130
Mailing Address - Street 1:24340 SPERRY DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1565
Mailing Address - Country:US
Mailing Address - Phone:440-249-5222
Mailing Address - Fax:
Practice Address - Street 1:24340 SPERRY DR
Practice Address - Street 2:SUITE C
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1565
Practice Address - Country:US
Practice Address - Phone:440-249-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022541250-03333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH022541250-03OtherTERMINAL DISTRIBUTOR