Healthcare Provider Details

I. General information

NPI: 1457155491
Provider Name (Legal Business Name): H & H DRUG SORES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 COMPLEX ST STE 312
SAN DIEGO CA
92123-1116
US

IV. Provider business mailing address

15602 MOSHER AVE
TUSTIN CA
92780-6427
US

V. Phone/Fax

Practice location:
  • Phone: 972-922-4122
  • Fax:
Mailing address:
  • Phone: 480-277-6348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JAY CHARLES WENDT
Title or Position: CEO
Credential:
Phone: 949-474-2050