Healthcare Provider Details

I. General information

NPI: 1639879919
Provider Name (Legal Business Name): BRANDON OSTROW PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 CORNER KETCH RD
NEWARK DE
19711-2901
US

IV. Provider business mailing address

919 DEVON DR
NEWARK DE
19711-7739
US

V. Phone/Fax

Practice location:
  • Phone: 302-235-5509
  • Fax:
Mailing address:
  • Phone: 267-884-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460193
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0024312
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0016208
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: