=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700549870
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HWAREH.COM, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/15/2021
-----------------------------------------------------
Last Update Date | 05/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7107 INDUSTRIAL RD
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41042-2979
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-748-7001
-----------------------------------------------------
Fax | 859-525-0095
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7107 INDUSTRIAL RD
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41042-2979
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-748-7001
-----------------------------------------------------
Fax | 859-525-0095
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. JOSEPH B PETERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 800-748-7001
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336M0002X
-----------------------------------------------------
Taxonomy Name | Mail Order Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------