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General NPI Number Information
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NPI Number | 1326174103
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Entity Type | Organization
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Legal Business Name | WILMINGTON HOSPITAL PHARMACY, RIVERSIDE
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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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 | 302-428-2736
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Fax | 302-428-4319
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Provider Business Mailing 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 | 302-428-2736
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Fax | 302-428-4319
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. ROBERT A THORNTON
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Credential | R.PH.
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Telephone | 302-428-8599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | A6-0000248
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License Number State | DE
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