Provider Demographics
NPI:1831835503
Name:TOTAL MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:TOTAL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO, CCO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:BRIANNE
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-838-0484
Mailing Address - Street 1:PO BOX 5427
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75505-5427
Mailing Address - Country:US
Mailing Address - Phone:903-838-0484
Mailing Address - Fax:
Practice Address - Street 1:3416 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0704
Practice Address - Country:US
Practice Address - Phone:903-716-5340
Practice Address - Fax:903-716-5565
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL MEDICAL SUPPLY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-06
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy