Organization
DIRECT SUCCESS PHARMACY DEPT
Active
Parent organization
DIRECT SUCCESS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIRECT SUCCESS INC
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
3336C0003X
Community/Retail Pharmacy
Primary
28RS00675700
NJ
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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