Provider Demographics
NPI:1760656656
Name:DMC PHARMACY, LLC
Entity type:Organization
Organization Name:DMC PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:SEMLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:540-295-4740
Mailing Address - Street 1:11096 LEE HWY
Mailing Address - Street 2:STE B102
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5032
Mailing Address - Country:US
Mailing Address - Phone:703-934-5552
Mailing Address - Fax:703-766-5500
Practice Address - Street 1:13945 METROTECH DR
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3239
Practice Address - Country:US
Practice Address - Phone:703-961-9055
Practice Address - Fax:703-961-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy