Provider Demographics
NPI:1730659806
Name:CAREMAX PHARMACY OF LOUDON, INC
Entity Type:Organization
Organization Name:CAREMAX PHARMACY OF LOUDON, INC
Other - Org Name:PARAGON INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF STRATEGY OFFICER/EVP
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:729-588-1050
Mailing Address - Street 1:17111 PRESTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1234
Mailing Address - Country:US
Mailing Address - Phone:866-972-5888
Mailing Address - Fax:866-491-5888
Practice Address - Street 1:125 BATTLEFIELD CROSSING CT
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-5176
Practice Address - Country:US
Practice Address - Phone:423-417-2490
Practice Address - Fax:866-491-5888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARAGON HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-30
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy