Organization
CHRISTIAN CARE HEALTH SERVICES RIVERSIDE PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THORTON RPH (PHCY MGR)
(302) 428-2533
Entity
Organization
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 428-2736
(302) 428-2469
Mailing address
501 W 14TH ST, WILMINGTON, DE 19801-1013
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
A60000248
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000819907
—
DE
01
—
0803141
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/13/2006
Last updated
08/22/2020
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