Organization
REHOBOTH PHARMACY INC
Active
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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