Organization
NUPHARM, INC
Active
Other names
HOME CARE SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KALTRIDER (PRESIDENT)
(203) 837-2330
Entity
Organization
Contact information
Practice address
3255 EXECUTIVE BLVD, SUITE 107, BEAUMONT, TX 77705-1051
(409) 724-0099
(409) 724-1919
Mailing address
PO BOX 121092, DEPT 1092, DALLAS, TX 75312-0001
(409) 951-6437
(409) 654-2068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008515191
—
VA
05
—
0138950-01
—
TX
05
—
1128126-01
—
TX
01
—
14357
TEXAS VENDOR DRUG
TX
Enumeration date
07/16/2006
Last updated
03/19/2009
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