Healthcare Provider Details

I. General information

NPI: 1437176161
Provider Name (Legal Business Name): DARLING APOTHECARY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 02/03/2020
Certification Date: 02/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212-214 LIBERTY ST.
WARREN PA
16365-2347
US

IV. Provider business mailing address

212-214 LIBERTY ST.
WARREN PA
16365-2347
US

V. Phone/Fax

Practice location:
  • Phone: 814-723-1744
  • Fax: 814-726-7876
Mailing address:
  • Phone: 814-723-1743
  • Fax: 855-849-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. KYLE BRUNO ZAFFINO
Title or Position: DIRECTOR OF OPERATIONS
Credential: PHARMD
Phone: 814-723-1744