MEDICARE: H & H DRUG SORES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1457155491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & H DRUG SORES, INC.

Provider Business Mailing Address
First Line	:	15602 MOSHER AVE
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-6427
Country	:	US
Telephone Number	:	480-277-6348
Fax Number	:

Provider Business Practice Location Address
First Line	:	5450 COMPLEX ST STE 312
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1116
Country	:	US
Telephone Number	:	972-922-4122
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAY CHARLES WENDT
Credential	:
Telephone Number	:	949-474-2050

Provider Enumeration Date	:	04/01/2025
Last Update Date	:	04/01/2025

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