Provider Demographics
NPI:1710466289
Name:PHARMACY SERVICES AMERICA, INC.
Entity Type:Organization
Organization Name:PHARMACY SERVICES AMERICA, INC.
Other - Org Name:PHARMACY SERVICES AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROURKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-352-3600
Mailing Address - Street 1:1165 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1248
Mailing Address - Country:US
Mailing Address - Phone:540-352-3600
Mailing Address - Fax:833-360-5559
Practice Address - Street 1:1165 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1248
Practice Address - Country:US
Practice Address - Phone:540-650-0470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy