Organization
RENAISSANCE FAMILY PHARMACY INC
Active
Organization
RENAISSANCE FAMILY PHARMACY INC
Active
Other names
RENAISSANCE FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMEY KASHUBA (OWNER)
(302) 798-4801
Entity
Organization
Contact information
Practice address
2618 PHILADELPHIA PIKE, CLAYMONT, DE 19703-2504
(302) 798-4801
(302) 798-4804
Mailing address
2618 PHILADELPHIA PIKE, CLAYMONT, DE 19703-2504
(302) 798-4801
(302) 798-4804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
A30000897
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844919
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/26/2008
Last updated
01/08/2010
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