Healthcare Provider Details

I. General information

NPI: 1396456927
Provider Name (Legal Business Name): BELINDA JOY DAGAAS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3043 NE 28TH ST
LINCOLN CITY OR
97367-4518
US

IV. Provider business mailing address

1837 NE 20TH ST
LINCOLN CITY OR
97367-3942
US

V. Phone/Fax

Practice location:
  • Phone: 541-996-7176
  • Fax:
Mailing address:
  • Phone: 773-986-9128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0019154
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: