MEDICARE: REMINGTON RESOURCES INCORPORATED

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	27224	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4547773	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1972773711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMINGTON RESOURCES INCORPORATED

Provider Business Mailing Address
First Line	:	3636 N MACARTHUR BLVD
Second Line	:	STE 100
City	:	IRVING
State	:	TX
Zip	:	75062-3691
Country	:	US
Telephone Number	:	972-570-4800
Fax Number	:	972-570-4803

Provider Business Practice Location Address
First Line	:	3636 N MACARTHUR BLVD STE 100
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-3691
Country	:	US
Telephone Number	:	972-570-4800
Fax Number	:	972-570-4803

Authorized Official
Title or Position	:	PHARMACIST
Name	:	ADEKUNLE TOMETI
Credential	:	RPH
Telephone Number	:	972-294-9552

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	11/30/2010

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Directions to “REMINGTON RESOURCES INCORPORATED ” Practice Location

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