<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
Fax: (407) 480-5355
Website:
Authorized official contact:
Name: Dang, An Duc

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518366319 NPPES
Florida MEDICAID 013810000

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