Provider Demographics
NPI:1669134011
Name:TRUECARE HEALTH, INC.
Entity type:Organization
Organization Name:TRUECARE HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHART
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:931-278-6422
Mailing Address - Street 1:620 DUNLOP LN
Mailing Address - Street 2:STE 110
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6072
Mailing Address - Country:US
Mailing Address - Phone:931-278-6422
Mailing Address - Fax:931-278-6423
Practice Address - Street 1:620 DUNLOP LN
Practice Address - Street 2:STE 110
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6072
Practice Address - Country:US
Practice Address - Phone:931-278-6422
Practice Address - Fax:931-278-6423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ070731Medicaid