Healthcare Provider Details

I. General information

NPI: 1205172145
Provider Name (Legal Business Name): TRANSDERMAL HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2012
Last Update Date: 06/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 MARKET ST
REDDING CA
96001-1023
US

IV. Provider business mailing address

PO BOX 108
ROME GA
30162-0108
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-4407
  • Fax: 844-265-1995
Mailing address:
  • Phone: 855-675-5220
  • Fax: 844-265-1995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY51032
License Number StateCA

VIII. Authorized Official

Name: SAMUEL MOSS
Title or Position: OWNER
Credential:
Phone: 855-675-5220