Organization
SOPOREX RESPIRATORY II INC
Active
Parent organization
SOPOREX RESPIRATORY HOLDINGS, INC.
Other names
INDEPENDENCE HOME PHARMACY II
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOPOREX RESPIRATORY HOLDINGS, INC.
Authorized official
WILLIAM W HEWLETT RPH (PRESIDENT)
(270) 753-5205
Entity
Organization
Contact information
Practice address
1308 SOUTH 12TH STREET, MURRAY, KY 42071
(270) 753-5205
(270) 753-9850
Mailing address
1308 SOUTH 12TH STREET, MURRAY, KY 42071
(270) 753-5205
(270) 753-9850
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336M0002X
Mail Order Pharmacy
Primary
P07204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1830389
OTHER ID NUMBER
—
Enumeration date
08/17/2007
Last updated
01/07/2008
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