Organization
PROGRESSIVE HEALTH SERVICES
Active
Organization
PROGRESSIVE HEALTH SERVICES
Active
Other names
United Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DANIELRAJ (PIC)
(443) 783-1828
Entity
Organization
Contact information
Practice address
200 BROADKILL RD STE 2, MILTON, DE 19968-1010
(302) 664-1220
(302) 664-1084
Mailing address
200 BROADKILL RD, SUITE #2, MILTON, DE 19968-1010
(302) 664-1220
(302) 664-1084
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000982
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150491
PK
—
Enumeration date
02/16/2015
Last updated
06/16/2016
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