Provider Demographics
NPI:1073329272
Name:3D PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:3D PHARMACY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:814-884-2114
Mailing Address - Street 1:7447 ADMIRAL PEARY HWY STE 7
Mailing Address - Street 2:
Mailing Address - City:CRESSON
Mailing Address - State:PA
Mailing Address - Zip Code:16630-1901
Mailing Address - Country:US
Mailing Address - Phone:814-884-2114
Mailing Address - Fax:
Practice Address - Street 1:7447 ADMIRAL PEARY HWY STE 7
Practice Address - Street 2:
Practice Address - City:CRESSON
Practice Address - State:PA
Practice Address - Zip Code:16630-1901
Practice Address - Country:US
Practice Address - Phone:814-884-2114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPP483209OtherSTATE LICENSE