Healthcare Provider Details
I. General information
NPI: 1568027084
Provider Name (Legal Business Name): FOCUS PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2019
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 E GLENWOOD AVE
SMYRNA DE
19977-1424
US
IV. Provider business mailing address
117 E GLENWOOD AVE
SMYRNA DE
19977-1424
US
V. Phone/Fax
- Phone: 302-471-3046
- Fax: 302-508-2275
- Phone: 302-471-3046
- Fax: 302-508-2275
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TAQUINA
WARREN
Title or Position: PHARMACIST IN CHARGE/OWNER
Credential: PHARMD
Phone: 443-415-3335