Provider Demographics
NPI:1164585352
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:PHARMACY ACCOUNT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISTOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-372-3778
Mailing Address - Street 1:407 HERON DR
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1737
Mailing Address - Country:US
Mailing Address - Phone:800-373-2133
Mailing Address - Fax:800-373-6013
Practice Address - Street 1:407 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:800-373-2133
Practice Address - Fax:800-373-6013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare