Healthcare Provider Details

I. General information

NPI: 1265633325
Provider Name (Legal Business Name): ELLEN C. HAMILTON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 FERRY CUT-OFF ST
NEW CASTLE DE
19702
US

IV. Provider business mailing address

333 SPALDING RD
WILMINGTON DE
19803-2421
US

V. Phone/Fax

Practice location:
  • Phone: 302-326-4634
  • Fax:
Mailing address:
  • Phone: 302-658-4248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0001839
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: