Provider Demographics
NPI:1396164588
Name:DARIG PHARMACY
Entity type:Organization
Organization Name:DARIG PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIDAKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:727-535-9950
Mailing Address - Street 1:2289 HANNAH WAY S
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9452
Mailing Address - Country:US
Mailing Address - Phone:727-535-9950
Mailing Address - Fax:727-535-8760
Practice Address - Street 1:12702 STARKEY RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-1426
Practice Address - Country:US
Practice Address - Phone:727-535-9950
Practice Address - Fax:727-535-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy