Provider Demographics
NPI:1306851944
Name:DALP CORPORATION
Entity Type:Organization
Organization Name:DALP CORPORATION
Other - Org Name:FARMACIA DOMINGUEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AROCHO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:787-746-1515
Mailing Address - Street 1:PO BOX 1295
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1295
Mailing Address - Country:US
Mailing Address - Phone:787-746-1515
Mailing Address - Fax:787-258-1140
Practice Address - Street 1:BO RIO CANAS
Practice Address - Street 2:CARR 798 KM 5
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-1515
Practice Address - Fax:787-258-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
PR18-F-30103336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2086671OtherPK
4589650001Medicare NSC