Provider Demographics
NPI:1952059982
Name:DAP INC
Entity Type:Organization
Organization Name:DAP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-681-2622
Mailing Address - Street 1:1101 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1624
Mailing Address - Country:US
Mailing Address - Phone:843-681-2622
Mailing Address - Fax:
Practice Address - Street 1:1101 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1624
Practice Address - Country:US
Practice Address - Phone:843-681-2622
Practice Address - Fax:843-970-1779
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D.A.P. INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy