Provider Demographics
NPI:1518192186
Name:DALTO, JOSEPH (R PH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:DALTO
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 EAGLEVIEW BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1143
Mailing Address - Country:US
Mailing Address - Phone:800-872-8626
Mailing Address - Fax:
Practice Address - Street 1:415 EAGLEVIEW BLVD
Practice Address - Street 2:STE 108
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1143
Practice Address - Country:US
Practice Address - Phone:800-872-8626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH012125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist