| Organization Name: | DS PHARMACY INC |
| NPI Number: | 1700986437 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER RUNFOLO (PHARMACIST IN CHARGE) |
| Mailing Address: | 407 Heron Dr Swedesboro |
| State: | NJ US |
| Postal Code: | 080851737 |
| Phone Number: | 8003784786 |
| Fax Number: | 8003736013 |
| NPI Enumeration Date: | 09/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 28RS00587100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |