MEDICARE: PHARMED LP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	16828	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4595926	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1275554230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMED LP

Provider Business Mailing Address
First Line	:	PO BOX 260329
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75026-0329
Country	:	US
Telephone Number	:	940-484-5915
Fax Number	:	972-248-3234

Provider Business Practice Location Address
First Line	:	1306 TEASLEY LN
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-7946
Country	:	US
Telephone Number	:	940-484-5915
Fax Number	:	940-484-5971

Authorized Official
Title or Position	:	GENERAL MGR
Name	:	SAEID DAVANI
Credential	:
Telephone Number	:	972-248-3232

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	10/02/2012

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Directions to “PHARMED LP ” Practice Location

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