Healthcare Provider Details

I. General information

NPI: 1306321153
Provider Name (Legal Business Name): BRIDGET MONICA ZAMBITO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24892 JOHN J WILLIAMS HWY
MILLSBORO DE
19966-4939
US

IV. Provider business mailing address

24892 JOHN J WILLIAMS HWY
MILLSBORO DE
19966-4939
US

V. Phone/Fax

Practice location:
  • Phone: 302-947-1204
  • Fax:
Mailing address:
  • Phone: 302-947-1204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0005304
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: