<Unavail>
LBN: Direct Retail Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 5050 Conway Rd Ste 1 , Orlando FL 32812-1200. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Direct Retail Pharmacy Llc can be contacted via phone (407) 203-0005, or through Dang, An Duc via phone (407) 406-1447.
Contact Information
Primary practice address
5050 Conway Rd Ste 1
Orlando FL 32812-1200
Phone: (407) 203-0005
Fax: (407) 480-5355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PSS50205 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1518366319 |
|---|---|
| LBN Legal business name | Direct Retail Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Dang, An Duc |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 18th, 2014 |
| Last updated | May 16th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518366319 | NPPES |
| Florida | MEDICAID | 013810000 |
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