Organization Name: | PHARMACY DEPOT, LLC |
NPI Number: | 1003229550 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIROOPAKSHA VELISHALA (MANAGER) |
Mailing Address: | 1119 W Randol Mill Rd Ste 104 Arlington |
State: | TX US |
Postal Code: | 760126509 |
Phone Number: | 6823235528 |
Fax Number: | 6823237022 |
NPI Enumeration Date: | 06/03/2014 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |