Provider Demographics
NPI:1417904913
Name:DIAMOND DRUGS INC
Entity Type:Organization
Organization Name:DIAMOND DRUGS INC
Other - Org Name:DIAMOND CARE PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUKAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEREK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-926-1000
Mailing Address - Street 1:226 E DIAMOND AVE
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3014
Mailing Address - Country:US
Mailing Address - Phone:301-926-1000
Mailing Address - Fax:301-926-1383
Practice Address - Street 1:226 E DIAMOND AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3014
Practice Address - Country:US
Practice Address - Phone:301-926-1000
Practice Address - Fax:301-926-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2105650OtherNCPDP #