Organization
CIVIC HEALTH SERVICES 2 LLC
Active
Organization
CIVIC HEALTH SERVICES 2 LLC
Active
Other names
SEAFORD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WAHEED AZIZ RPH (OWNER)
(410) 749-5900
Entity
Organization
Contact information
Practice address
613 W STEIN HWY, SEAFORD, DE 19973-1203
(302) 629-3737
(302) 629-3330
Mailing address
337 CIVIC AVE STE 20, SALISBURY, MD 21804-5231
(410) 749-5900
(410) 749-5901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A30000935
DE
3336C0004X
Compounding Pharmacy
P05970
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962759316
—
DE
01
—
2136526
PK
—
Enumeration date
08/04/2012
Last updated
10/16/2014
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