Healthcare Provider Details

I. General information

NPI: 1396355426
Provider Name (Legal Business Name): MDK HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3985 COLUMBIA AVE UNIT 2
COLUMBIA PA
17512-9003
US

IV. Provider business mailing address

3985 COLUMBIA AVE UNIT 2
COLUMBIA PA
17512-9003
US

V. Phone/Fax

Practice location:
  • Phone: 717-283-1184
  • Fax: 717-481-3207
Mailing address:
  • Phone: 717-283-1184
  • Fax: 717-481-3207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. DARRYN J NAYLIN
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 717-283-1184