Organization
THREE LOWER COUNTIES COMMUNITY SERVICES INC
Active
Other names
Delmarva Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN E HOLLAND (PRESIDENT & CEO)
(410) 749-1015
Entity
Organization
Contact information
Practice address
1615 TREE SAP CT, SALISBURY, MD 21804
(410) 677-0561
(410) 677-0562
Mailing address
1615 TREE SAP CT, SALISBURY, MD 21804-9403
(410) 677-0561
(410) 677-0562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
P04378
MD
3336C0003X
Community/Retail Pharmacy
Primary
P07848
MD
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006044500
—
MD
05
—
1194768473
—
DE
01
—
2038111
PK
—
Enumeration date
06/14/2006
Last updated
10/25/2023
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