Provider Demographics
NPI:1962126060
Name:DORADO PHARMACY INC
Entity type:Organization
Organization Name:DORADO PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARROUJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-719-0101
Mailing Address - Street 1:13003 VAN NUYS BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-8324
Mailing Address - Country:US
Mailing Address - Phone:818-485-5554
Mailing Address - Fax:818-485-5560
Practice Address - Street 1:13003 VAN NUYS BLVD STE E
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-8324
Practice Address - Country:US
Practice Address - Phone:818-485-5554
Practice Address - Fax:818-485-5560
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DORADO PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy