Provider Demographics
NPI:1841611456
Name:DIRECT MEDS OF TRENTON LLC
Entity Type:Organization
Organization Name:DIRECT MEDS OF TRENTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUNDES
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZMIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-585-9234
Mailing Address - Street 1:345 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LEONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07605-2238
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:489 W STATE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-5653
Practice Address - Country:US
Practice Address - Phone:201-585-9234
Practice Address - Fax:201-585-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy