Organization · NPI-2

Christian Care Health Services Riverside Phcy

Pharmacy, Institutional Pharmacy · Wilmington, DE

NPI number1396806162
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1396806162
Entity type
Organization (NPI-2)
Legal business name
Christian Care Health Services Riverside Phcy
Organization subpart
No
Enumeration date
Dec 13, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336I0012X Pharmacy, Institutional PharmacyA60000248DEYes

Practice location

501 W 14th St
Wilmington, DE 19801-1013

Phone 302-428-2736 · Fax 302-428-2469

Mailing address

501 W 14th St
Wilmington, DE 19801-1013

Authorized official

Robert Thorton
Phcy Mgr
3024282533

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