Organization
FULCRUM PHARMACY MANAGEMENT INC
Active
Organization
FULCRUM PHARMACY MANAGEMENT INC
Active
Other names
FULCRUM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY CRKVENAC (OWNER)
(302) 658-8020
Entity
Organization
Contact information
Practice address
501 N SHIPLEY ST, UNIT 1, WILMINGTON, DE 19801-2252
(302) 658-8020
(302) 658-8024
Mailing address
PO BOX 2695, WILMINGTON, DE 19805-0695
(302) 658-8020
(302) 658-8024
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
A30000888
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0804129
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1000023567
—
DE
Enumeration date
10/20/2006
Last updated
10/23/2013
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