Organization Name: | HERVEY & BETHARD INC |
NPI Number: | 1033202700 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EARL MICHAEL PEMBERTON (OWNER/PHARMACIST) |
Mailing Address: | 1900 S High St Longview |
State: | TX US |
Postal Code: | 756023212 |
Phone Number: | 9037588286 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 01373 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |