Organization
DERHANN CO LLC
Active
Other names
DeraMed Specialty Pharmacy, DeraMed Specialty Pharmacy, DERHANN Co. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADERONKE EFUNOGBON (DIRECTOR)
(817) 592-3636
Entity
Organization
Contact information
Practice address
1001 MATLOCK RD STE 105, MANSFIELD, TX 76063-6564
(817) 592-3636
Mailing address
1001 MATLOCK RD STE 105, MANSFIELD, TX 76063-6564
(817) 592-3636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
10/05/2018
Last updated
11/19/2025
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