MEDICARE: DLP 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
1	183500000X	Pharmacist	004167	SC
2	332B00000X	Durable Medical Equipment & Medical Supplies	023664232	SC
3	3336C0003X	Community/Retail Pharmacy	50004376	SC

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	:	1609960640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DLP INC.

Provider Business Mailing Address
First Line	:	10B WINCHESTER CT
Second Line	:
City	:	MAULDIN
State	:	SC
Zip	:	29662-2627
Country	:	US
Telephone Number	:	864-288-0911
Fax Number	:	864-297-0159

Provider Business Practice Location Address
First Line	:	10B WINCHESTER CT
Second Line	:
City	:	MAULDIN
State	:	SC
Zip	:	29662-2627
Country	:	US
Telephone Number	:	864-288-0911
Fax Number	:	864-297-0159

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. ABEL B WALTON
Credential	:	RPH
Telephone Number	:	864-288-0911

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/29/2013

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Directions to “DLP INC. ” Practice Location

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