Organization · Type 2 NPI

Deramed LTC Pharmacy

Long Term Care Pharmacy · Mansfield, TX

NPI number 1801414933 Active

Practice location

1001 Matlock Rd Ste 105
Mansfield, TX 76063-3443

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

Other long term care pharmacy providers in Mansfield

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NPI record

NPI: 1801414933
Entity type: Organization (Type 2)
Issued: Jul 6, 2020
Last updated: May 3, 2024
Status: Active
Subpart: Yes of Derhann Co. LLC

Other names

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Deramed Specialty Pharmacy · doing business as
Deramed Specialty Pharmacy · doing business as

Authorized official

Aderonke Efunogbon
Director
(817) 592-3636

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801414933

Deramed LTC Pharmacy's National Provider Identifier is 1801414933, issued on Jul 6, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Mansfield, TX. The record was last updated on May 3, 2024.