Organization
DNA PHARMACY SERVICES INC
Active
Organization
DNA PHARMACY SERVICES INC
Active
Other names
PALM BEACH COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID UPSON BS PHARM (PIC)
(561) 741-1191
Entity
Organization
Contact information
Practice address
2151 S. HIGHWAY ALT. A1A, SUITE 1500, THREE PALMS CENTER, JUPITER, FL 33477
(561) 741-1191
(561) 741-1193
Mailing address
2151 S. HIGHWAY ALT. A1A, SUITE 1500, THREE PALMS CENTER, JUPITER, FL 33477
(561) 741-1191
(561) 741-1193
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH20850
FL
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004039
PK
—
Enumeration date
05/31/2005
Last updated
06/21/2016
Update your record
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