Provider Demographics
NPI:1649448531
Name:DSI PHARMACY LLC
Entity type:Organization
Organization Name:DSI PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECT VP
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:YALOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:615-777-8201
Mailing Address - Street 1:511 UNION ST
Mailing Address - Street 2:STE 1800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1733
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:511 UNION ST
Practice Address - Street 2:STE 1800
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1733
Practice Address - Country:US
Practice Address - Phone:615-777-8201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4441034OtherNCPDP PROVIDER IDENTIFICATION NUMBER