Provider Demographics
NPI:1396355426
Name:MDK HEALTH
Entity type:Organization
Organization Name:MDK HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAYLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-283-1184
Mailing Address - Street 1:3985 COLUMBIA AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-9003
Mailing Address - Country:US
Mailing Address - Phone:717-283-1184
Mailing Address - Fax:717-481-3207
Practice Address - Street 1:3985 COLUMBIA AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-9003
Practice Address - Country:US
Practice Address - Phone:717-283-1184
Practice Address - Fax:717-481-3207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy