Organization Name: | DS PHARMACY INC |
NPI Number: | 1164585352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRIS BRISTOW (PHARMACY ACCOUNT SPECIALIST) |
Mailing Address: | 407 Heron Dr Swedesboro |
State: | NJ US |
Postal Code: | 080851737 |
Phone Number: | 8003732133 |
Fax Number: | 8003736013 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |