MEDICARE: PHARMACY MANAGEMENT CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy		DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0800626	OTHER	DE	NCPDP

General Provider Information

NPI Number	:	1316935349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY MANAGEMENT CORPORATION

Provider Business Mailing Address
First Line	:	111 DARLEY RD
Second Line	:	P.O. BOX 589
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2723
Country	:	US
Telephone Number	:	302-798-6641
Fax Number	:	302-798-1824

Provider Business Practice Location Address
First Line	:	111 DARLEY RD
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2723
Country	:	US
Telephone Number	:	302-798-6641
Fax Number	:	302-798-1824

Authorized Official
Title or Position	:	PHARMACY TECH
Name	:	MS. SANDY RILEY
Credential	:	CPHT
Telephone Number	:	302-798-6641

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	08/22/2020

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Directions to “PHARMACY MANAGEMENT CORPORATION ” Practice Location

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