Organization
SAIGON EXPRESS PHARMACY INC
Active
Other names
Concord Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
QUYEN NGUYEN (PHARMACIST-IN-CHARGE)
(302) 345-5205
Entity
Organization
Contact information
Practice address
3613 SILVERSIDE RD, WILMINGTON, DE 19810-5101
(302) 478-1212
(302) 478-3455
Mailing address
102 PARRISH LN, WILMINGTON, DE 19810-3456
(302) 345-5205
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-0001008
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167347
PK
—
05
—
250020460
—
DE
Enumeration date
01/24/2017
Last updated
04/25/2017
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