Provider Demographics
NPI:1053543553
Name:PHARMACY SUPPORT SERVICES
Entity type:Organization
Organization Name:PHARMACY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-983-0032
Mailing Address - Street 1:2108 EMMORTON PARK RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-1050
Mailing Address - Country:US
Mailing Address - Phone:302-983-0032
Mailing Address - Fax:
Practice Address - Street 1:2108 EMMORTON PARK RD
Practice Address - Street 2:SUITE 202
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-1050
Practice Address - Country:US
Practice Address - Phone:302-983-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13474263332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies