Organization
DIRECT SUCCESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LAWRENCE MCDANIEL (PRESIDENT/CEO)
(732) 919-1234
Entity
Organization
Contact information
Practice address
1710 HIGHWAY 34, WALL TOWNSHIP, NJ 07727-3906
(732) 919-1234
Mailing address
1710 HIGHWAY 34, WALL TOWNSHIP, NJ 07727-3906
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/02/2011
Last updated
04/18/2019
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