Organization
TIDALHEALTH HOME SCRIPTS MILLSBORO
Active
Other names
PRMC Home Scripts Millsboro
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM COOPER P.D. (AMBULATORY PHCY MGR, PIC)
(410) 543-7047
Entity
Organization
Contact information
Practice address
30265 COMMERCE DR, SUITE 106 A, MILLSBORO, DE 19966-3593
(302) 297-2596
(302) 297-2597
Mailing address
30265 COMMERCE DR, SUITE 106 A, MILLSBORO, DE 19966-3593
(302) 297-2596
(302) 297-2597
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000981
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151265
PK
—
Enumeration date
10/21/2014
Last updated
09/02/2025
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