MEDICARE: REMKEM CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	27745	TX

General Provider Information

NPI Number	:	1538446737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMKEM CORPORATION

Provider Business Mailing Address
First Line	:	836 FALLKIRK CT
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-2078
Country	:	US
Telephone Number	:	214-793-3236
Fax Number	:	972-899-1184

Provider Business Practice Location Address
First Line	:	9037 GARLAND RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3919
Country	:	US
Telephone Number	:	214-660-1603
Fax Number	:	214-660-1608

Authorized Official
Title or Position	:	CORPORATE OFFICER
Name	:	XUAN NGUYEN
Credential	:
Telephone Number	:	214-660-1603

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	06/26/2019

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Directions to “REMKEM CORPORATION ” Practice Location

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