Organization Name: | DARJEN,INC. |
NPI Number: | 1013348564 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARIA PUENTES (PIC-VICE PRESIDENT) |
Mailing Address: | 8645 N Military Trl Suite 405-406 West Palm Beach |
State: | FL US |
Postal Code: | 334106294 |
Phone Number: | 5615571645 |
Fax Number: | 5615571649 |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | PH27069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |