Organization
DERMATRAN HEALTH SOLUTIONS LLC
Active
Other names
DermaTran Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
TONY RAYFUS (DIRECTOR/OWNER)
(855) 675-5200
Entity
Organization
Contact information
Practice address
85 TECHNOLOGY PKWY NW, ROME, GA 30165-1382
(706) 844-1502
(844) 265-1995
Mailing address
PO BOX 108, ROME, GA 30162-0108
(855) 675-5200
(844) 265-1995
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009821
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134297
PK
—
Enumeration date
03/20/2012
Last updated
08/06/2021
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