Organization
DELAWARE SUPERMARKETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1101 GOVERNORS PL, BEAR, DE 19701
(302) 392-2891
(302) 392-2892
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(302) 392-2891
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000895
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146862
PK
—
Enumeration date
07/11/2014
Last updated
06/05/2018
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