Provider Demographics
NPI:1699311696
Name:D & E PHARMACEUTICAL SERVICES
Entity type:Organization
Organization Name:D & E PHARMACEUTICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:940-583-4376
Mailing Address - Street 1:700 S COLLEGE AVE BOX 684
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAY
Mailing Address - State:TX
Mailing Address - Zip Code:76366-3848
Mailing Address - Country:US
Mailing Address - Phone:940-583-4376
Mailing Address - Fax:940-583-4380
Practice Address - Street 1:700 S. COLLEGE
Practice Address - Street 2:
Practice Address - City:HOLLIDAY
Practice Address - State:TX
Practice Address - Zip Code:76366
Practice Address - Country:US
Practice Address - Phone:940-583-4376
Practice Address - Fax:940-583-4380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy