Healthcare Provider Details

I. General information

NPI: 1285915926
Provider Name (Legal Business Name): DENNIS WESSEL R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2011
Last Update Date: 09/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 NEW LINDEN HILL RD
WILMINGTON DE
19808-2923
US

IV. Provider business mailing address

4575 NEW LINDEN HILL RD
WILMINGTON DE
19808-2923
US

V. Phone/Fax

Practice location:
  • Phone: 302-456-3000
  • Fax: 302-456-3004
Mailing address:
  • Phone: 302-456-3000
  • Fax: 302-456-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberA1-0001929
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: