Organization
KOHLER HOMECARE PHARMACY, INC.
Active
Other names
WEBB-KOHLER PHARMACY, HOME MEDICAL EQUIPMENT AND SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE SALVANT RPH (PRESIDENT)
(817) 861-4631
Entity
Organization
Contact information
Practice address
2204 PARK SPRINGS BLVD, SUITE A, ARLINGTON, TX 76013-5642
(817) 861-4631
(620) 508-2755
Mailing address
2204 PARK SPRINGS BLVD, SUITE A, ARLINGTON, TX 76013-5642
(817) 861-4631
(620) 508-2755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19367
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149554
—
TX
05
—
161601301
—
TX
01
—
2104142
PK
—
01
—
815747831
BCBSTX
TX
Enumeration date
08/10/2006
Last updated
08/06/2019
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