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
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