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NPI Code Detail

MEDICARE: DARJEN, INC

MEDICARE: DARJEN, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding PharmacyPH27069FL
23336C0004XCompounding PharmacyFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22143180OTHERPK

General Provider Information

NPI Number : 1013348564
Entity Type Code : Organization
Provider Name (Legal Business Name) : DARJEN, INC
Provider Business Mailing Address
First Line : 10358 RIVERSIDE DR STE 140
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4203
Country : US
Telephone Number : 561-557-1645
Fax Number : 561-557-1649
Provider Business Practice Location Address
First Line : 10358 RIVERSIDE DR STE 140
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4203
Country : US
Telephone Number : 561-557-1645
Fax Number : 561-557-1649
Authorized Official
Title or Position : PRESIDENT
Name : MICHELLE NOTARTOMASO
Credential :
Telephone Number : 561-557-1645
Provider Enumeration Date : 12/10/2013
Last Update Date : 10/03/2017

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Directions to “DARJEN, INC ” Practice Location

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