Theracom LLC

Organization Active NPI Pharmacy · Brooks, KY

NPI 1992044705 · NPPES record last updated Jul 3, 2023

Key facts

NPI
1992044705
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
P07549 (KY)
Legal business name
THERACOM LLC
Practice address
345 International Blvd.
Suite 200
Brooks, KY 40109-6202
Phone
(877) 654-7812
Fax
(469) 365-8274
NPI assigned
Feb 14, 2013
Organization subpart
No

Authorized official

Name
Ms. Joseph Max Eiler, RPH
Title
Sr. Director Pharmacy Services
Phone
(469) 365-8338

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Theracom (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07549 KY Yes

Addresses

Primary practice location

345 International Blvd.
Suite 200
Brooks, KY 40109-6202

Mailing address

5025 Plano Parkway
Carrollton, TX 75010
Phone (469) 365-8245

Other names

  • TheraCom Doing business as

Other providers in Brooks, KY

All providers in Brooks, KY · Pharmacy in Kentucky

Sources for this page

Verify at the official NPI Registry.