Healthcare Provider Details

I. General information

NPI: 1316447550
Provider Name (Legal Business Name): TMH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S 71 HWY
SAVANNAH MO
64485
US

IV. Provider business mailing address

205 S 71 HWY
SAVANNAH MO
64485
US

V. Phone/Fax

Practice location:
  • Phone: 816-324-4211
  • Fax: 816-324-4830
Mailing address:
  • Phone: 816-324-4211
  • Fax: 816-324-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2018003020
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TROY HECKMAN
Title or Position: OWNER
Credential:
Phone: 816-324-4211