Healthcare Provider Details

I. General information

NPI: 1376782425
Provider Name (Legal Business Name): DARYAN'S PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LA FUENTE SHOPPING CTR
TOA ALTA PR
00953-3827
US

IV. Provider business mailing address

1000 LA FUENTE SHOPPING CTR STE 13
TOA ALTA PR
00953-3827
US

V. Phone/Fax

Practice location:
  • Phone: 787-288-3050
  • Fax: 787-288-3355
Mailing address:
  • Phone: 787-288-3050
  • Fax: 787-288-3355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number19-F-2700
License Number StatePR

VIII. Authorized Official

Name: DALIA CHIRINO
Title or Position: PHARMACIST
Credential: RPH
Phone: 787-288-3050