Organization
AT-HOME PHARMACY, INC.
Active
Other names
AT HOME PHARMACY VITAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HASTY (MANAGER)
(214) 239-4020
Entity
Organization
Contact information
Practice address
1615 OSPREY DR STE 100, DESOTO, TX 75115-2427
(214) 239-4020
(214) 239-4021
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23351
TX
332BC3200X
Customized Equipment (DME)
23351
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
23351
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
23351
TX
333600000X
Pharmacy
23351
TX
3336C0003X
Community/Retail Pharmacy
23351
TX
3336H0001X
Home Infusion Therapy Pharmacy
23351
TX
3336L0003X
Long Term Care Pharmacy
23351
TX
3336M0002X
Mail Order Pharmacy
23351
TX
3336S0011X
Specialty Pharmacy
Primary
23351
TX
Other
Enumeration date
08/29/2006
Last updated
09/11/2025
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