Organization
PPMI INC
Active
Other names
Miller Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MAZZOTTA (OWNER)
(302) 584-1972
Entity
Organization
Contact information
Practice address
3610 MILLER RD, WILMINGTON, DE 19802-2524
(302) 764-5348
(302) 764-5349
Mailing address
PO BOX 378, ROCKLAND, DE 19732-0378
(302) 764-5348
(302) 764-5349
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171964
—
DE
Enumeration date
12/21/2012
Last updated
04/30/2025
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