Healthcare Provider Details
I. General information
NPI: 1306851944
Provider Name (Legal Business Name): DALP CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2006
Last Update Date: 02/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BO RIO CANAS CARR 798 KM 5
CAGUAS PR
00725
US
IV. Provider business mailing address
PO BOX 1295
CAGUAS PR
00726-1295
US
V. Phone/Fax
- Phone: 787-746-1515
- Fax: 787-258-1140
- Phone: 787-746-1515
- Fax: 787-258-1140
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 | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 18-F-3010 |
| License Number State | PR |
VIII. Authorized Official
Name:
EMMA
AROCHO
Title or Position: PHARMACIST OWNER
Credential: PHARMACIST
Phone: 787-746-1515