Provider Demographics
NPI:1780239855
Name:DARLING APOTHECARY, LLC
Entity type:Organization
Organization Name:DARLING APOTHECARY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:BRUNO
Authorized Official - Last Name:ZAFFINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-723-1743
Mailing Address - Street 1:212-214 LIBERTY STREET
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365
Mailing Address - Country:US
Mailing Address - Phone:814-723-1743
Mailing Address - Fax:
Practice Address - Street 1:811 GRANDVIEW RD
Practice Address - Street 2:STE 200
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301
Practice Address - Country:US
Practice Address - Phone:814-516-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DARLING APOTHECARY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy