Delago Pharamacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60361 Issued in CA

Legal business name

DELAGO PHARAMACY INC

Practice address

31739 Riverside Dr
Suite J
Lake Elsinore, CA 92530-7818

Phone

(909) 730-2758

NPI assigned

May 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Marlena A Luning, R. PH

Title

Pharamcist in Charge

Phone

(909) 730-2758

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1295095909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31739 RIVERSIDE DR",
            "address_2": "SUITE J",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307818",
            "telephone_number": "909-730-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31739 RIVERSIDE DR",
            "address_2": "SUITE J",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307818",
            "telephone_number": "909-730-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAGO PHARAMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "LUNING",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARAMCIST IN CHARGE",
        "authorized_official_telephone_number": "909-730-2758",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "60361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.