# THE HOME HEALTH STORE OF TOMBALL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Health Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508826199
- **Authorized official:** MR. THOMAS FRED GLOYER RPH. (CEO)
- **Authorized official phone:** (281) 351-6216

## Contact information

- **Practice address:** 444 HOLDERRIETH BLVD, SUITE 6, TOMBALL, TX 77375-4591
- **Practice address phone:** (281) 351-6216
- **Practice address fax:** (281) 351-7989
- **Mailing address:** 444 HOLDERRIETH BLVD, SUITE 6, TOMBALL, TX 77375-4591
- **Mailing address phone:** (281) 351-6216
- **Mailing address fax:** (281) 351-7989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 16897 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |
| 333600000X | Pharmacy | 16897 | TX | — |
| 335E00000X | Prosthetic/Orthotic Supplier | 16897 | TX | — |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 04/08/2008
