Healthcare Provider Details

I. General information

NPI: 1518912427
Provider Name (Legal Business Name): NEW CASTLE COMMUNITY MENTAL HEALTH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936A MARYLAND AVE
WILMINGTON DE
19805
US

IV. Provider business mailing address

1936A MARYLAND AVE
WILMINGTON DE
19805
US

V. Phone/Fax

Practice location:
  • Phone: 302-778-6950
  • Fax: 302-622-4178
Mailing address:
  • Phone: 302-778-6950
  • Fax: 302-622-4178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberA30000638
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. GERALD GALLUCCI
Title or Position: MEDICALDIRECTOR/DIRECTOR OF GERIATR
Credential: MD
Phone: 302-255-2838