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General NPI Number Information
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NPI Number | 1639219082
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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 | 02/07/2007
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Last Update Date | 10/13/2023
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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 | 302-428-6843
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Fax | 302-428-2669
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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 | 302-428-6843
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Fax | 302-428-2669
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Authorized Official
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Title or Position | VICE PRESIDENT, PHARMACY SERVICES
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Name | SAMUEL WETHERILL
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Credential |
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Telephone | 302-733-5855
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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 | A30000880
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License Number State | DE
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