Healthcare Provider Details
I. General information
NPI: 1457963498
Provider Name (Legal Business Name): CONNOR STEVEN CAHILL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1120 PULASKI HWY
BEAR DE
19701-1306
US
IV. Provider business mailing address
1120 PULASKI HWY
BEAR DE
19701-1306
US
V. Phone/Fax
- Phone: 302-832-2300
- Fax: 302-832-2305
- Phone: 302-832-2300
- Fax: 302-832-2305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | A1-0005433 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: