OrganizationActive
Derhann Co LLC
NPI 1164997169 · Specialty Pharmacy · Mansfield, TX
Provider details
- NPI number
- 1164997169
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Aderonke Efunogbon, Director(817) 592-3636
Specialties & taxonomies
Suppliers
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Pharmacist183500000X
Pharmacy Service Providers
- Compounding Pharmacy3336C0004X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Practice location
1001 Matlock Rd Ste 105
Mansfield, TX 76063-6564
Phone: (817) 592-3636
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Matlock Rd Ste 105
Mansfield, TX 76063-6564
Other names (DBA / former)
- Doing business as
- Derhann Co. LLC
- Other name
- Deramed Specialty Pharmacy
- Doing business as
- Deramed Specialty Pharmacy
Registry dates
- Enumerated
- 2018-10-05
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.