Healthcare Provider Details

I. General information

NPI: 1285318923
Provider Name (Legal Business Name): DALPOAS GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 06/13/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N SARAH
ST. LOUIS MO
63108
US

IV. Provider business mailing address

4401 W PINE BLVD
SAINT LOUIS MO
63108-2301
US

V. Phone/Fax

Practice location:
  • Phone: 314-533-1081
  • Fax:
Mailing address:
  • Phone: 314-533-1081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DEVIN DALPOAS
Title or Position: PRESIDENT
Credential:
Phone: 314-533-1081