Organization
MILLSBORO PHARMACY INC
Active
Other names
MILLSBORO PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER DOLAN (PRESIDENT)
(302) 934-9398
Entity
Organization
Contact information
Practice address
321 OLD LANDING ROAD, MILLSBORO, DE 19966
(302) 934-9398
(302) 934-9398
Mailing address
PO BOX 516, MILLSBORO, DE 19966-0516
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A30000438
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000046207
—
DE
01
—
2003017
PK
—
Enumeration date
09/21/2006
Last updated
03/16/2015
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