Organization
TIDALHEALTH HOME SCRIPTS MILLSBORO
Active
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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