Healthcare Provider Details

I. General information

NPI: 1891835252
Provider Name (Legal Business Name): HEALTH CARE CENTER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HYGEIA DR
NEWARK DE
19713-2049
US

IV. Provider business mailing address

200 HYGEIA DR
NEWARK DE
19713-2049
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-0185
  • Fax:
Mailing address:
  • Phone: 302-623-0185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberA3-0000764
License Number StateDE

VIII. Authorized Official

Name: MR. GARY FERGUSON
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 302-733-1000