MEDICARE: TOUCHSTONE IV INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336C0004X	Compounding Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1700590114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCHSTONE IV INC

Provider Business Mailing Address
First Line	:	9101 LAKEVIEW PKWY STE 500
Second Line	:
City	:	ROWLETT
State	:	TX
Zip	:	75088-4574
Country	:	US
Telephone Number	:	844-999-9676
Fax Number	:	469-367-0341

Provider Business Practice Location Address
First Line	:	8285 EL RIO ST STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4634
Country	:	US
Telephone Number	:	844-999-9676
Fax Number	:	877-257-0305

Authorized Official
Title or Position	:	COO
Name	:	MARTIN MCGOVERN
Credential	:
Telephone Number	:	469-925-1010

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	01/10/2023

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