MEDICARE: PHARMED L.P.

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	333600000X	Pharmacy	22345	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies	22345	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	1396750931	OTHER	TX	NPI
3	4525854	OTHER	TX	NCPDP
4	193945601	OTHER	TX	TPI

General Provider Information

NPI Number	:	1730359712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMED L.P.

Provider Business Mailing Address
First Line	:	PO BOX 260329
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75026-0329
Country	:	US
Telephone Number	:	972-596-6690
Fax Number	:	972-596-6696

Provider Business Practice Location Address
First Line	:	1200 WOODHAVEN BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2376
Country	:	US
Telephone Number	:	817-507-0162
Fax Number	:	817-507-0163

Authorized Official
Title or Position	:	PARTNER
Name	:	SAEID DAVANI
Credential	:	R.PH.
Telephone Number	:	972-596-6690

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	09/17/2008

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Directions to “PHARMED L.P. ” Practice Location

Language	Start Address	Practice Location

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