Organization
GREENVILLE HOME TOWN MEDICAL EQUIPMENT INC
Active
Other names
HOME TOWN MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD R CLAYTON JR. RPH (PRESIDENT)
(903) 455-4788
Entity
Organization
Contact information
Practice address
2701 WASHINGTON ST, GREENVILLE, TX 75401-4113
(903) 455-4788
(903) 455-4695
Mailing address
2701 WASHINGTON ST, GREENVILLE, TX 75401-4113
(903) 455-4788
(903) 455-4695
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0010866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20556
PHARMACY
TX
01
—
530745
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
10/20/2005
Last updated
08/22/2020
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