Healthcare Provider Details

I. General information

NPI: 1639573553
Provider Name (Legal Business Name): DAISY ALARCON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2014
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 WEST RD
OCOEE FL
34761-5300
US

IV. Provider business mailing address

1406 CARDINAL LN
WINTER GARDEN FL
34787-4276
US

V. Phone/Fax

Practice location:
  • Phone: 407-656-1254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS52065
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: