Organization
REMINGTON HERITAGE INC
Active
Other names
Total Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
KUNLE TOMETI (PIC)
(972) 294-9552
Entity
Organization
Contact information
Practice address
4323 N JOSEY LN, STE 102, CARROLLTON, TX 75010-4633
(972) 395-3100
(972) 395-3103
Mailing address
4323 N JOSEY LN, STE 102, CARROLLTON, TX 75010-4633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26205
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4550047
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2008
Last updated
10/15/2008
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