Healthcare Provider Details

I. General information

NPI: 1689741175
Provider Name (Legal Business Name): DAP HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 PALM CANYON DR STE 203-204
BORREGO SPRINGS CA
92004-4000
US

IV. Provider business mailing address

1695 N SUNRISE WAY
PALM SPRINGS CA
92262
US

V. Phone/Fax

Practice location:
  • Phone: 760-767-3047
  • Fax: 760-767-5757
Mailing address:
  • Phone: 760-323-2118
  • Fax: 760-767-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JUDY STITH
Title or Position: CHIEF ADMINISTRATION OFFICER
Credential:
Phone: 760-323-2118