Provider Demographics
NPI:1669870291
Name:DIRECT MEDS, INC
Entity type:Organization
Organization Name:DIRECT MEDS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-250-7499
Mailing Address - Street 1:281 E HAMILTON AVE
Mailing Address - Street 2:STE 9
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0232
Mailing Address - Country:US
Mailing Address - Phone:408-871-2900
Mailing Address - Fax:408-871-2901
Practice Address - Street 1:281 E HAMILTON AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0232
Practice Address - Country:US
Practice Address - Phone:408-871-2900
Practice Address - Fax:408-871-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-14
Last Update Date:2014-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA579103336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy