Healthcare Provider Details

I. General information

NPI: 1942115902
Provider Name (Legal Business Name): DAQUAN K BENNETT PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 CAPITOL TRL
NEWARK DE
19711-7242
US

IV. Provider business mailing address

1503 BLATTY PL
NEWARK DE
19702-4439
US

V. Phone/Fax

Practice location:
  • Phone: 302-453-1010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA10016248
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: