Organization
DARJEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NOTARTOMASO (PRESIDENT)
(561) 557-1645
Entity
Organization
Contact information
Practice address
10358 RIVERSIDE DR STE 140, PALM BEACH GARDENS, FL 33410-4203
(561) 557-1645
(561) 557-1649
Mailing address
10358 RIVERSIDE DR STE 140, PALM BEACH GARDENS, FL 33410-4203
(561) 557-1645
(561) 557-1649
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
PH27069
FL
3336C0004X
Compounding Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014965000
—
FL
01
—
2143180
PK
—
Enumeration date
12/10/2013
Last updated
10/03/2017
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