Provider Demographics
NPI:1144222969
Name:DS PHARMACY, INC.
Entity Type:Organization
Organization Name:DS PHARMACY, INC.
Other - Org Name:DRUGSTORE.COM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHNA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:800-378-4786
Mailing Address - Street 1:411 108TH AVE NE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8404
Mailing Address - Country:US
Mailing Address - Phone:425-372-3200
Mailing Address - Fax:425-372-3817
Practice Address - Street 1:407A HERON DR
Practice Address - Street 2:
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085-1737
Practice Address - Country:US
Practice Address - Phone:856-241-5213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00587100333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy