=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780778191
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | D & N CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2006
-----------------------------------------------------
Last Update Date | 11/02/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 314 MAIN ST
-----------------------------------------------------
City | ORANGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07050-3613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-676-0866
-----------------------------------------------------
Fax | 973-676-2377
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 314 MAIN ST
-----------------------------------------------------
City | ORANGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07050-3613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-676-0866
-----------------------------------------------------
Fax | 973-676-2377
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DAVID SUNG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-676-0866
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 28RS00659100
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------