Organization
DALEO COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J DALEO RPH (PHARMACIST IN CHARGE)
(409) 833-2211
Entity
Organization
Contact information
Practice address
2400 CALDER AVE., BEAUMONT, TX 77702
(409) 833-2211
(409) 833-8549
Mailing address
2400 CALDER AVE., BEAUMONT, TX 77702
(409) 833-2211
(409) 833-8549
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
10403
TX
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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