Provider Demographics
NPI:1619017555
Name:DEV DC INC.
Entity Type:Organization
Organization Name:DEV DC INC.
Other - Org Name:RICHARDS PHARMAC Y
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:DECANDIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-944-0863
Mailing Address - Street 1:207 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1508
Mailing Address - Country:US
Mailing Address - Phone:201-944-0863
Mailing Address - Fax:201-944-7110
Practice Address - Street 1:207 BROAD AVE
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1508
Practice Address - Country:US
Practice Address - Phone:201-944-0863
Practice Address - Fax:201-944-7110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00532300333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7869207Medicaid
NJ1324550001Medicare ID - Type Unspecified