Healthcare Provider Details

I. General information

NPI: 1114225356
Provider Name (Legal Business Name): WILLIAM TRIFILLIS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2011
Last Update Date: 03/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 SAVANNAH RD
LEWES DE
19958-1462
US

IV. Provider business mailing address

31427 COVENTRY DR
LEWES DE
19958-4159
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-6243
  • Fax: 302-645-6910
Mailing address:
  • Phone: 302-645-2097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA10001506
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: