MEDICARE: DARLING APOTHECARY, LLC

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
1	3336L0003X	Long Term Care Pharmacy

Other Identifiers

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

General Provider Information

NPI Number	:	1275002214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARLING APOTHECARY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 316
Second Line	:	17 FOREST ST
City	:	SUGAR GROVE
State	:	PA
Zip	:	16350
Country	:	US
Telephone Number	:	814-723-1743
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 FOREST ST
Second Line	:
City	:	SUGAR GROVE
State	:	PA
Zip	:	16350
Country	:	US
Telephone Number	:	814-489-7777
Fax Number	:	855-456-8155

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	KYLE BRUNO ZAFFINO
Credential	:	PHARMD
Telephone Number	:	814-723-1743

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	10/12/2020

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