Organization
GABECARE DIRECTRX INC
Active
Other names
DirectRx Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BERISHAJ PHARM D (VICE PRESIDENT)
(248) 280-2270
Entity
Organization
Contact information
Practice address
830 KIRTS BLVD STE 300, TROY, MI 48084-4897
(248) 280-2270
(248) 280-6405
Mailing address
830 KIRTS BLVD STE 300, TROY, MI 48084-4897
(248) 280-2270
(248) 280-6405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006411
MI
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715051
—
MI
01
—
2044355
PK
—
05
—
3239850
—
MI
Enumeration date
07/26/2005
Last updated
10/10/2017
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