Provider Demographics
NPI:1336724855
Name:DAYSPRING LLC
Entity Type:Organization
Organization Name:DAYSPRING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OMOTAYO
Authorized Official - Middle Name:OLUFEMI
Authorized Official - Last Name:BADEJOKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-326-1877
Mailing Address - Street 1:7817 CHELTENHAM AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAVEROCK
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7621
Mailing Address - Country:US
Mailing Address - Phone:484-326-1877
Mailing Address - Fax:267-335-3937
Practice Address - Street 1:15 PRESIDENTIAL BLVD STE 202
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1021
Practice Address - Country:US
Practice Address - Phone:484-326-1877
Practice Address - Fax:267-335-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy