Provider Demographics
NPI:1750095774
Name:MY PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:MY PHARMACY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:LUCAS
Authorized Official - Last Name:EDLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-900-6555
Mailing Address - Street 1:1814 EASTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1403
Mailing Address - Country:US
Mailing Address - Phone:336-900-6555
Mailing Address - Fax:
Practice Address - Street 1:1814 EASTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1403
Practice Address - Country:US
Practice Address - Phone:336-900-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy