Provider Demographics
NPI:1184141624
Name:T & H PHARMACY SOLUTIONS LLC
Entity type:Organization
Organization Name:T & H PHARMACY SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JENETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-293-3128
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:KEOSAUQUA
Mailing Address - State:IA
Mailing Address - Zip Code:52565-0039
Mailing Address - Country:US
Mailing Address - Phone:319-293-3128
Mailing Address - Fax:319-293-3853
Practice Address - Street 1:204 CASS ST
Practice Address - Street 2:
Practice Address - City:KEOSAUQUA
Practice Address - State:IA
Practice Address - Zip Code:52565-7718
Practice Address - Country:US
Practice Address - Phone:319-293-3128
Practice Address - Fax:319-293-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X, 3336M0002X, 3336M0002X
IA16123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0221695Medicaid
2171845OtherPK