Organization
BARBER DME SUPPLY GROUP
Active
Other names
My Direct RX
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BARBER (PRESIDENT)
(703) 378-4353
Entity
Organization
Contact information
Practice address
4080 LAFAYETTE CENTER DR STE 250, CHANTILLY, VA 20151-1247
(703) 378-4353
Mailing address
4080 LAFAYETTE CENTER DR STE 250, CHANTILLY, VA 20151-1247
17033784353
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093051567
—
VA
Enumeration date
05/24/2017
Last updated
05/24/2017
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