Provider Demographics
NPI:1609282995
Name:REGALADO, DANIELA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:REGALADO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 NAAMANS RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3020
Mailing Address - Country:US
Mailing Address - Phone:302-246-1933
Mailing Address - Fax:302-246-1939
Practice Address - Street 1:7293 E CROWN PKWY
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-6453
Practice Address - Country:US
Practice Address - Phone:949-572-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004551183500000X
MD21823183500000X
PARP448606183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist