Deramed LTC Pharmacy
Long Term Care Pharmacy · Mansfield, TX
Practice location
1001 Matlock Rd Ste 105Mansfield, TX 76063-3443
- Phone
- (817) 592-3636
NPI record
- NPI
- 1801414933
- Entity type
- Organization (Type 2)
- Enumeration date
- July 6, 2020
- Last updated
- May 3, 2024
- Certified
- May 3, 2024
- Organization subpart
- Yes
- Parent organization
- Derhann Co. LLC
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X |
— | — |
| Specialty Pharmacy | 3336S0011X |
— | — |
Authorized official
- Name
- Aderonke Efunogbon
- Title
- Director
- Phone
- (817) 592-3636
Other names
- DeraMed Specialty Pharmacy
- DeraMed Specialty Pharmacy
About Deramed LTC Pharmacy
Deramed LTC Pharmacy is a healthcare organization registered in the NPI registry with the primary taxonomy Long Term Care Pharmacy (code 3336L0003X). The practice location is 1001 Matlock Rd Ste 105, Mansfield, TX 76063-3443. The NPI number 1801414933 was assigned on July 6, 2020 and the record was last updated on May 3, 2024.
The authorized official for this organization is Aderonke Efunogbon, Director.
Frequently asked questions
What is the NPI number of Deramed LTC Pharmacy?
The NPI number is 1801414933.
What is the phone number of Deramed LTC Pharmacy?
The phone number listed for the practice location is (817) 592-3636.
Where is Deramed LTC Pharmacy located?
1001 Matlock Rd Ste 105, Mansfield, TX 76063-3443.
What is the taxonomy code for Deramed LTC Pharmacy?
The primary taxonomy code is 3336L0003X – Long Term Care Pharmacy; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Long Term Care Pharmacy providers in Mansfield
- Quality in Care, Inc.400 S Main St
- Rays Pharmacy Inc1831 E Broad St Ste 213