Healthcare Provider Details

I. General information

NPI: 1750298220
Provider Name (Legal Business Name): SUSAN SHAFFER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 CONCORD PIKE
WILMINGTON DE
19850
US

IV. Provider business mailing address

1800 CONCORD PIKE
WILMINGTON DE
19850
US

V. Phone/Fax

Practice location:
  • Phone: 215-280-9375
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14642
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: