1225488745 NPI number — DERMATRAN HEALTH SOLUTIONS

Table of content: (NPI 1225488745)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225488745 NPI number — DERMATRAN HEALTH SOLUTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DERMATRAN HEALTH SOLUTIONS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225488745
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2700 STANLEY GAULT PKWY STE 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40223-5133
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-254-1024
Provider Business Mailing Address Fax Number:
502-470-1918

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2700 STANLEY GAULT PKWY STE 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40223-5133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-254-1024
Provider Business Practice Location Address Fax Number:
502-470-1918
Provider Enumeration Date:
06/15/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TOOLE
Authorized Official First Name:
HAROLD
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PHARMACIST IN CHARGE
Authorized Official Telephone Number:
502-254-1024

Provider Taxonomy Codes

  • Taxonomy code: 3336C0004X , with the licence number:  008345 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)