Organization
DIRECT RETAIL PHARMACY LLC
Active
Organization
DIRECT RETAIL PHARMACY LLC
Active
Parent organization
DIRECT RETAIL PHARMACY
Other names
Direct Retail Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIRECT RETAIL PHARMACY
Authorized official
MR. AN DUC DANG (PHARMACIST/OWNER)
(407) 406-1447
Entity
Organization
Contact information
Practice address
5050 CONWAY RD STE 1, ORLANDO, FL 32812-1200
(407) 203-0005
(407) 480-5355
Mailing address
5050 CONWAY RD STE 1, ORLANDO, FL 32812-1200
(407) 203-0005
(407) 480-5355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PSS50205
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013810000
—
FL
Enumeration date
08/18/2014
Last updated
05/16/2025
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