Healthcare Provider Details

I. General information

NPI: 1710866488
Provider Name (Legal Business Name): AASHNA KOTHARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 CONCORD PIKE
WILMINGTON DE
19803-2906
US

IV. Provider business mailing address

2119 CONCORD PIKE
WILMINGTON DE
19803-2906
US

V. Phone/Fax

Practice location:
  • Phone: 302-656-4333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0016039
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: