Healthcare Provider Details

I. General information

NPI: 1386729671
Provider Name (Legal Business Name): MILFORD PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 NE FRONT ST
MILFORD DE
19963-1430
US

IV. Provider business mailing address

112 NE FRONT ST
MILFORD DE
19963-1430
US

V. Phone/Fax

Practice location:
  • Phone: 302-422-8077
  • Fax: 302-422-8078
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberA30000267
License Number StateDE

VIII. Authorized Official

Name: MARTIN UFFNER
Title or Position: PIC
Credential:
Phone: 302-422-8077