Healthcare Provider Details

I. General information

NPI: 1316935349
Provider Name (Legal Business Name): PHARMACY MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 DARLEY RD
CLAYMONT DE
19703-2723
US

IV. Provider business mailing address

111 DARLEY RD P.O. BOX 589
CLAYMONT DE
19703-2723
US

V. Phone/Fax

Practice location:
  • Phone: 302-798-6641
  • Fax: 302-798-1824
Mailing address:
  • Phone: 302-798-6641
  • Fax: 302-798-1824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateDE

VIII. Authorized Official

Name: MS. SANDY RILEY
Title or Position: PHARMACY TECH
Credential: CPHT
Phone: 302-798-6641