DGN PHARMACY, INC

Provider Demographics

• NPI: 1699003905
• Name: DGN PHARMACY, INC
• Entity Type: Organization
• Organization Name: DGN PHARMACY, INC
• Other - Org Name: PERSONAL RX
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: FOUNDER AND CEO
• Authorized Official - First Name: LAWRENCE
• Authorized Official - Last Name: MARGOLIS
• Authorized Official - Phone: 201-430-7300
• Mailing Address - Street 1: 20 MURRAY HILL PKWY
• Mailing Address - Street 2: SUITE 210
• Mailing Address - City: EAST RUTHERFORD
• Mailing Address - State: NJ
• Mailing Address - Zip Code: 07073
• Mailing Address - Country: US
• Mailing Address - Phone: 201-430-7300
• Mailing Address - Fax: 201-438-5050
• Practice Address - Street 1: 20 MURRAY HILL PKWY
• Practice Address - Street 2: SUITE 210
• Practice Address - City: EAST RUTHERFORD
• Practice Address - State: NJ
• Practice Address - Zip Code: 07073
• Practice Address - Country: US
• Practice Address - Phone: 201-430-7300
• Practice Address - Fax: 201-438-5050
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2009-11-24
• Last Update Date: 2021-09-28

Provider Licenses

State	License ID	Taxonomies
CA	NRP1954	3336C0003X
LA	PHY.007121-NR	3336C0003X
CO	OSP.0006697	3336C0003X
GA	PHNR000834	3336C0003X
MI	5301011197	3336C0003X
CT	PCN.0002359	3336C0003X
IA	4588	3336C0003X
FL	PH28880	3336C0003X
IN	64001950A	3336C0003X
HI	PMP-1207	3336C0003X
ID	40557MS	3336C0003X
IL	054.019654	3336C0003X
DC	NRX0000833	3336C0003X
AL	114490	3336C0003X
ME	MO40001778	3336C0003X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336C0003X	Suppliers	Pharmacy	Community/Retail Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	2122893	Other	PK