MEDICARE: HME PHARMACY, 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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1639355753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HME PHARMACY, LP

Provider Business Mailing Address
First Line	:	7510 REINDEER TRL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1280
Country	:	US
Telephone Number	:	210-681-6665
Fax Number	:

Provider Business Practice Location Address
First Line	:	13701 NORTHWEST BLVD STE D3
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-5114
Country	:	US
Telephone Number	:	361-225-3954
Fax Number	:	361-854-0299

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DENNIS BARTOS
Credential	:
Telephone Number	:	210-681-6665

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	10/14/2008

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