Organization
DIRECT PHARMACY SERVICES INC
Active
Other names
DIRECT PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHIULING WANG (VP OF VENDOR RELATIONS)
(301) 918-1714
Entity
Organization
Contact information
Practice address
6635 W COMMERCIAL BLVD, SUITE 116, TAMARAC, FL 33319-2100
(954) 720-0222
(954) 720-0336
Mailing address
9332 ANNAPOLIS RD, STE 211, LANHAM, MD 20706-3113
(301) 918-1711
(301) 918-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
MD
1835G0303X
Geriatric Pharmacist
—
MD
1835N0905X
Nuclear Pharmacist
—
MD
1835N1003X
Nutrition Support Pharmacist
—
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
MD
1835P1200X
Pharmacotherapy Pharmacist
—
MD
1835P1300X
Psychiatric Pharmacist
—
MD
1835X0200X
Oncology Pharmacist
—
MD
333600000X
Pharmacy
—
MD
3336C0003X
Community/Retail Pharmacy
Primary
PH22076
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014010400
—
MD
01
—
1019909
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
P008009737
—
MI
Enumeration date
08/10/2006
Last updated
04/22/2015
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