Healthcare Provider Details

I. General information

NPI: 1013360130
Provider Name (Legal Business Name): DYLAN ROBERT HOWERY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 NEW LONDON RD
NEWARK DE
19711-7044
US

IV. Provider business mailing address

399 NEW LONDON RD
NEWARK DE
19711-7044
US

V. Phone/Fax

Practice location:
  • Phone: 302-731-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-00004952
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: