Healthcare Provider Details

I. General information

NPI: 1407780125
Provider Name (Legal Business Name): ERICA M DRYDEN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 OGLETOWN STANTON RD
NEWARK DE
19713-2067
US

IV. Provider business mailing address

4745 OGLETOWN STANTON RD
NEWARK DE
19713-2067
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-7600
  • Fax: 302-266-6168
Mailing address:
  • Phone: 302-623-7600
  • Fax: 302-266-6168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberA1-0005411
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: