Organization
REHOBOTH PHARMACY INC
Active
Other names
Rehoboth Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NWAKAEGO CHUKWUNENYE MBA, PHARMD (PHARMACY MANANGER)
(302) 798-8900
Entity
Organization
Contact information
Practice address
2616 PHILADELPHIA PIKE STE B, UNIT B, CLAYMONT, DE 19703-2520
(302) 798-8900
(302) 798-8100
Mailing address
2616 PHILADELPHIA PIKE STE B, UNIT B, CLAYMONT, DE 19703-2520
(302) 798-8900
(302) 798-8100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-000952
DE
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174870695
—
DE
01
—
2136823
PK
—
Enumeration date
08/14/2012
Last updated
07/19/2018
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