Healthcare Provider Details
I. General information
NPI: 1649265240
Provider Name (Legal Business Name): DARLING APOTHECARY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2005
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 EAST MAIN ST.
YOUNGSVILLE PA
16371-4408
US
IV. Provider business mailing address
114 EAST MAIN ST.
YOUNGSVILLE PA
16371-4408
US
V. Phone/Fax
- Phone: 814-563-3400
- Fax: 814-563-3407
- Phone: 814-563-3400
- Fax: 814-563-3407
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | PP481342 |
| License Number State | PA |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
DARLING
Title or Position: PRESIDENT AND OWNER
Credential: RPH
Phone: 814-723-1743