Organization
FIRST STATE PHARMACY INC
Active
Other names
First State Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MCCORMICK (OWNER/PRESIDENT)
(302) 757-6075
Entity
Organization
Contact information
Practice address
1707 FOULK RD, WILMINGTON, DE 19803-2770
(302) 468-4300
(302) 478-8300
Mailing address
100 E PEMBREY DR, WILMINGTON, DE 19803-2004
(302) 757-6075
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000922
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130573
PK
—
Enumeration date
06/03/2011
Last updated
11/25/2014
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