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NPI Code Detail

MEDICARE: DAYLAN INC

MEDICARE: DAYLAN 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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPH24483FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12123958OTHERPK

General Provider Information

NPI Number : 1083936496
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYLAN INC
Provider Business Mailing Address
First Line : 600 E ALTAMONTE DR
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-4815
Country : US
Telephone Number : 407-790-4863
Fax Number : 407-790-4864
Provider Business Practice Location Address
First Line : 600 E ALTAMONTE DR
Second Line : SUITE 1400
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-4815
Country : US
Telephone Number : 407-790-4863
Fax Number : 407-790-4864
Authorized Official
Title or Position : OWNER
Name : BOLAJI ADISA
Credential :
Telephone Number : 407-963-1108
Provider Enumeration Date : 02/26/2010
Last Update Date : 02/20/2017

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Directions to “DAYLAN INC ” Practice Location

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