Healthcare Provider Details

I. General information

NPI: 1912296575
Provider Name (Legal Business Name): BENJAMIN JAMES GIORDANO SR. RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 POLYDRUMMOND SHOPPING CENTER
NEWARK DE
19311
US

IV. Provider business mailing address

4 POLLY DRUMMOND SHPG CTR
NEWARK DE
19711-4859
US

V. Phone/Fax

Practice location:
  • Phone: 302-731-9111
  • Fax: 302-738-8392
Mailing address:
  • Phone: 302-731-7111
  • Fax: 302-738-8392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0002005
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP028459L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: