Individual
CARLY CHANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 CENTERVILLE RD, WILMINGTON, DE 19808-6220
(302) 994-3848
Mailing address
1308 CENTERVILLE RD, WILMINGTON, DE 19808-6220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0003740
DE
Other
Enumeration date
02/28/2016
Last updated
02/28/2016
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