Provider Demographics
NPI:1508967357
Name:DMD PHARMACY SERVICES,LLC
Entity Type:Organization
Organization Name:DMD PHARMACY SERVICES,LLC
Other - Org Name:THE VILLAGE PHARMACY #3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ROMBRO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:561-212-5728
Mailing Address - Street 1:13460 SW 10TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1833
Mailing Address - Country:US
Mailing Address - Phone:954-450-0212
Mailing Address - Fax:954-450-2808
Practice Address - Street 1:110 CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-2262
Practice Address - Country:US
Practice Address - Phone:561-682-9400
Practice Address - Fax:561-681-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH201243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy