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General NPI Number Information
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NPI Number | 1104641448
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 501 W 14TH ST
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-320-2108
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DR STE 2600
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City | NEWARK
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone | 302-428-4254
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF PHARMACY AND LAB
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Name | KIMBERLY EVANS
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Credential |
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Telephone | 302-623-7362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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